Provider Demographics
NPI:1750898946
Name:SMITHS STATION FIRE AND RESCUE
Entity type:Organization
Organization Name:SMITHS STATION FIRE AND RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BLAKE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:334-947-0913
Mailing Address - Street 1:50 LEE ROAD 430
Mailing Address - Street 2:
Mailing Address - City:SMITHS STATION
Mailing Address - State:AL
Mailing Address - Zip Code:36877-2600
Mailing Address - Country:US
Mailing Address - Phone:334-947-0911
Mailing Address - Fax:334-947-0912
Practice Address - Street 1:50 LEE ROAD 430
Practice Address - Street 2:
Practice Address - City:SMITHS STATION
Practice Address - State:AL
Practice Address - Zip Code:36877-2600
Practice Address - Country:US
Practice Address - Phone:334-947-0911
Practice Address - Fax:334-947-0912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-09
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11243416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport