Provider Demographics
NPI:1790964104
Name:CHEAHA AREA REGIONAL EMERGENCY SERVICES OF OXFORD
Entity Type:Organization
Organization Name:CHEAHA AREA REGIONAL EMERGENCY SERVICES OF OXFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED CODER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:H
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:CCS
Authorized Official - Phone:256-741-1339
Mailing Address - Street 1:1325 QUINTARD AVE
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36201-4619
Mailing Address - Country:US
Mailing Address - Phone:256-741-1339
Mailing Address - Fax:256-741-1356
Practice Address - Street 1:256 OXFORD EXCHANGE BLVD
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-3453
Practice Address - Country:US
Practice Address - Phone:256-741-1339
Practice Address - Fax:256-741-1356
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHEAHA AREA REGIONAL EMERGENCY SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty