Provider Demographics
NPI:1487646170
Name:LUVERNE RESCUE SQUAD
Entity Type:Organization
Organization Name:LUVERNE RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-335-6468
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:LUVERNE
Mailing Address - State:AL
Mailing Address - Zip Code:36049-0164
Mailing Address - Country:US
Mailing Address - Phone:334-335-4100
Mailing Address - Fax:
Practice Address - Street 1:142 W 6TH ST
Practice Address - Street 2:
Practice Address - City:LUVERNE
Practice Address - State:AL
Practice Address - Zip Code:36049-1610
Practice Address - Country:US
Practice Address - Phone:334-335-4100
Practice Address - Fax:334-335-4115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-18
Last Update Date:2007-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL02973416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport