Organization Name: | FORT RUCKER EMS |
NPI Number: | 1689847261 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN P. REDMON (PARAMEDIC) |
Mailing Address: | Bld 301a Andrews Avenue Ft. Rucker |
State: | AL US |
Postal Code: | 36362 |
Phone Number: | 3342557799 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2008 |
NPI Last Update Date: | 04/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 8628979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |