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Andalusia Rescue Squad, Inc.

Details

Name: Andalusia Rescue Squad, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 12 Jan 1990 (35 years ago)
Entity Number: 000-067-889
Register Number: 000067889
County: Covington
Place of Formation: Covington County
Principal Address: ANDALUSIA, AL
Registered Office Street Address: PO BOX 372, 103 OPP AVENUEANDALUSIA, AL 36420
Registered Office Street Address ZIP Code: 36420

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851481170 2006-10-15 2020-08-22 PO BOX 372, ANDALUSIA, AL, 364201207, US 103 OPP AVE, ANDALUSIA, AL, 364203812, US

Contacts

Phone +1 334-222-4155
Fax 3342220326

Authorized person

Name MR. MICHAEL LLOYD SMITH
Role DIRECTOR
Phone 3342224155

Taxonomy

Taxonomy Code 3416L0300X - Land Ambulance
License Number 115
State AL
Is Primary Yes

Incorporator

Name Role Address
ANDERSON, DAVID Incorporator 1119 LONDON PLACE SWDECATUR, AL 35603
WALTERS, STEVE L Incorporator No data
RYLAND, LARRY Incorporator No data

Agent

Name Role
RYLAND, LARRY Agent

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State