NPI 1477634459 · live from the CMS NPI Registry
Killen Ctr Star Rescue
Ambulance, Land Transport in Killen, AL. National Provider Identifier 1477634459, active.
NPI record
| NPI | 1477634459 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 207 J C Mauldin Hwy, Killen, AL 35645 |
| Practice phone | 256-757-5012 |
| Mailing address | Po Box 365, Killen, AL 35645 |
| Enumerated | October 18, 2006 |
| Last updated | April 10, 2008 |
| Authorized official | Jay Golliver, Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 777 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.