NPI 1801815196

Wicksburg Fire Rescue

Organisation Land Ambulance Newton, AL

Practice location

Address: 1610 Adkinson Rd, Newton, AL 36352-8820
Phone: (334) 692-3866
Mailing address: 1610 Adkinson Road, Newton, AL 36352

Authorised official

Name: Raymond D Shiver
Title: Captain
Phone: (334) 692-3866

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 422 (AL)

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Registry record

NPI: 1801815196
Entity type: Organization
NPI issued: 18 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.