| Organization Name: | TALLAPOOSA EMS, LLC |
| NPI Number: | 1255303921 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL LANCE BEVELS (CO-OWNER) |
| Mailing Address: | 201 Mariarden Rd Dadeville |
| State: | AL US |
| Postal Code: | 368536244 |
| Phone Number: | 2568259811 |
| Fax Number: | 2568252838 |
| NPI Enumeration Date: | 02/06/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 895 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |