| Organization Name: | CLIO RESCUE SQUAD |
| NPI Number: | 1659452555 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD JOHNSON (CAPTAIN) |
| Mailing Address: | 3311 Elamville St Clio |
| State: | AL US |
| Postal Code: | 360172706 |
| Phone Number: | 3343974402 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2006 |
| NPI Last Update Date: | 10/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 180 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |