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Dale County Rescue and Recovery, Inc.

Details

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

National Provider Identifier

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

Contacts

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

Incorporator

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