Provider Demographics
NPI:1265549562
Name:ASHFORD AMBULANCE AND RESCUE SQUAD
Entity type:Organization
Organization Name:ASHFORD AMBULANCE AND RESCUE SQUAD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY/TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:BLIZZARD
Authorized Official - Suffix:
Authorized Official - Credentials:NREMT-P
Authorized Official - Phone:334-899-5115
Mailing Address - Street 1:PO BOX 368
Mailing Address - Street 2:
Mailing Address - City:ASHFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36312-0368
Mailing Address - Country:US
Mailing Address - Phone:334-899-5115
Mailing Address - Fax:334-899-1341
Practice Address - Street 1:305 MIDLAND ST
Practice Address - Street 2:
Practice Address - City:ASHFORD
Practice Address - State:AL
Practice Address - Zip Code:36312
Practice Address - Country:US
Practice Address - Phone:334-899-5115
Practice Address - Fax:334-899-1341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL123341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL52313OtherBCBS