Name: | Dale County Rescue and Recovery, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 07 Jun 1973 (51 years ago) |
Entity Number: | 000-733-288 |
Register Number: | 000733288 |
Place of Formation: | Dale County |
Principal Address: | NEWTON, AL |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1043231525 | 2006-07-21 | 2008-11-20 | PO BOX 145, NEWTON, AL, 363520145, US | 449 S COLLEGE ST, NEWTON, AL, 363524018, US | |||||||||||||||||||||||||
|
Phone | +1 334-299-0222 |
Fax | 3342993174 |
Authorized person
Name | JIMMY BLACKMON |
Role | DIRECTOR |
Phone | 3343333826 |
Taxonomy
Taxonomy Code | 3416L0300X - Land Ambulance |
License Number | 198 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 051552962 |
State | AL |
Name | Role | Address |
---|---|---|
HENDERSON, ROY | Incorporator | ROUTE 3CULLMAN, AL |
HARRELL, JOHN ED | Incorporator | No data |
WALKER, KENNETH | Incorporator | 2551 COUNTY ROAD 1564BAILEYTON, AL 35019 |
ANDREWS, WILLIAM | Incorporator | 2144 SKYPARK DRFLORENCE, AL 35634 |
ROGERS, REV ROBERT | Incorporator | No data |
SHAW, DON A | Incorporator | No data |
BRACKIN, CHARLES | Incorporator | No data |
MCKNIGHT, ROY | Incorporator | No data |
HIGHFILL, DELORES | Incorporator | No data |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State