| Name: | Haleburg Rescue Squad, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 06 Nov 2000 (24 years ago) |
| Entity Number: | 000-553-785 |
| Register Number: | 000553785 |
| County: | Houston |
| Place of Formation: | Henry County |
| Principal Address: | HALEBURG, AL |
| Registered Office Street Address: | 1378 MAIN STHALEBURG, AL 36319 |
| Registered Office Street Address ZIP Code: | 36319 |
Activities
OPERATE/MAINTAIN THE HALEBURG RESCUE SQUARD INC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740361609 | 2006-10-18 | 2010-04-13 | PO BOX 115, HEADLAND, AL, 363450115, US | 10361 GEORGE H GRIMSLEY HWY, COLUMBIA, AL, 363195831, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 334-585-5555 |
| Fax | 3345855555 |
| Phone | +1 334-794-5400 |
Authorized person
| Name | ED ANDERSON |
| Role | DIRECTOR |
| Phone | 3347945400 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 836 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 051551088 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD AL |
| Number | 051507349 |
| State | AL |
| Name | Role |
|---|---|
| MARTIN, BEAU C | Agent |
| Name | Role |
|---|---|
| MONEY, ROGER | Incorporator |
| SCOTT, ANGUS | Incorporator |
| MONEY, NELSON | Incorporator |
| BAXTER, TED M | Incorporator |
| CHAMBERS, EDDIE L | Incorporator |
| MARTIN, BEAU C | Incorporator |
| STINSON, ANGELA ARMSTRONG | Incorporator |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
