| Organization Name: | LAWRENCE COUNTY EMERGENCY MEDICAL SERVICES, INC. |
| NPI Number: | 1548246010 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GREGORY DAREL RANDOLPH (PRESIDENT) |
| Mailing Address: | 11227 Al Highway 157 Suite A Moulton |
| State: | AL US |
| Postal Code: | 356501983 |
| Phone Number: | 2569743711 |
| Fax Number: | 2569747956 |
| NPI Enumeration Date: | 12/16/2005 |
| NPI Last Update Date: | 10/29/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 725 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |