Provider Demographics
NPI:1689780397
Name:CITY OF EUFAULA RESCUE SQUAD
Entity Type:Organization
Organization Name:CITY OF EUFAULA RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS CLERK
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-687-1219
Mailing Address - Street 1:PO BOX 219
Mailing Address - Street 2:
Mailing Address - City:EUFAULA
Mailing Address - State:AL
Mailing Address - Zip Code:36072-0219
Mailing Address - Country:US
Mailing Address - Phone:334-687-1219
Mailing Address - Fax:334-687-1250
Practice Address - Street 1:115 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:EUFAULA
Practice Address - State:AL
Practice Address - Zip Code:36027-1626
Practice Address - Country:US
Practice Address - Phone:334-687-1219
Practice Address - Fax:334-687-1250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL223341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance