| Name: | Skipperville Volunteer Rescue Squad, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 04 Nov 1992 (32 years ago) (Companies founded in November 1992) |
| Entity Number: | 000-074-827 |
| Register Number: | 000074827 |
| ZIP code: | 36374 (Companies in Dale, 36374) |
| County: | Dale |
| Place of Formation: | Dale County |
| Principal Address: | OZARK, AL |
| Registered Office Street Address: | RT 1 BOX 1 AASKIPPERVILLE, AL 36374 |
Activities
AID & ASSIST RESIDENTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407914856 | 2006-12-05 | 2009-05-21 | POST OFFICE BOX 149, SKIPPERVILLE, AL, 363740149, US | POST OFFICE BOX 149, SKIPPERVILLE, AL, 363740149, US | |||||||||||||||||||||||||||||
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| Phone | +1 866-297-5189 |
Authorized person
| Name | KELLEY WOOD |
| Role | BILLING |
| Phone | 3346932105 |
Taxonomy
| Taxonomy Code | 251V00000X - Voluntary or Charitable Agency |
| License Number | 367 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS AND BLUE SHIELD OF ALABAMA |
| Number | 51050017 |
| State | AL |
| Issuer | MEDICAID |
| Number | 000050017 |
| State | AL |
| Name | Role |
|---|---|
| PHILLIPS, TINA D | Agent |
| Name | Role |
|---|---|
| BOLTON, EMMETTE E | Incorporator |
| TIERNEY, ROBERT | Incorporator |
| BRUNNER, GENE | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
