1689780397 NPI number — CITY OF EUFAULA RESCUE SQUAD

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689780397 NPI number — CITY OF EUFAULA RESCUE SQUAD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CITY OF EUFAULA RESCUE SQUAD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689780397
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/19/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 219
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EUFAULA
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
36072-0219
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
334-687-1219
Provider Business Mailing Address Fax Number:
336-200-7023

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
115 S ORANGE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EUFAULA
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
36027-1626
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
334-687-1219
Provider Business Practice Location Address Fax Number:
336-200-7023
Provider Enumeration Date:
08/23/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RICHARDSON
Authorized Official First Name:
SUSAN
Authorized Official Middle Name:
Authorized Official Title or Position:
ACCOUNTS CLERK
Authorized Official Telephone Number:
334-687-1219

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  223 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 590010261 . This is a "RAILROAD MEDICARE" identifier , issued by the state of ( AL ) . This identifiers is of the category "OTHER".
  • Identifier: 000914317A . This is a "GEORGIA MEDICAID" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 200003103 , issued by the state of ( AL ) . This identifiers is of the category "MEDICAID".




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