Provider Demographics
NPI:1336173343
Name:KELLYTON VOLUNTEER FIRE AND RESCUE COMPANY
Entity Type:Organization
Organization Name:KELLYTON VOLUNTEER FIRE AND RESCUE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SEWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-234-5494
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:KELLYTON
Mailing Address - State:AL
Mailing Address - Zip Code:35089-0208
Mailing Address - Country:US
Mailing Address - Phone:256-234-5494
Mailing Address - Fax:256-234-7613
Practice Address - Street 1:140 COUNTY ROAD 50
Practice Address - Street 2:
Practice Address - City:KELLYTON
Practice Address - State:AL
Practice Address - Zip Code:35089-9408
Practice Address - Country:US
Practice Address - Phone:256-234-5494
Practice Address - Fax:256-234-7613
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9193416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport