Provider Demographics
NPI:1619052099
Name:COUNTY EMS LLC
Entity Type:Organization
Organization Name:COUNTY EMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-637-0500
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:MOULTON
Mailing Address - State:AL
Mailing Address - Zip Code:35650-0458
Mailing Address - Country:US
Mailing Address - Phone:256-773-2662
Mailing Address - Fax:256-292-3514
Practice Address - Street 1:1550 HIGHWAY 31 NW
Practice Address - Street 2:
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-4430
Practice Address - Country:US
Practice Address - Phone:256-773-2662
Practice Address - Fax:256-773-2662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2012-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8863416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051553854Medicaid
AL51518058OtherBC/BS OF ALABAMA
AL051553854Medicare ID - Type Unspecified