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McIntosh Rescue Squad, Inc.

Details

Name: McIntosh Rescue Squad, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 03 May 1979 (46 years ago) (Companies founded in May 1979)
Entity Number: 000-767-296
Register Number: 000767296
Place of Formation: Walker County
Principal Address: MCINTOSH, AL

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053325902 2006-07-28 2020-08-22 PO BOX 477, 111 RIVER ROAD, MC INTOSH, AL, 365530477, US 111 RIVER ROAD, MC INTOSH, AL, 365530477, US

Contacts

Phone +1 251-944-2590
Fax 2519448226

Authorized person

Name MR. RANDY DAVIDSON
Role OFFICE MANAGER
Phone 2519442590

Taxonomy

Taxonomy Code 341600000X - Ambulance
License Number 302
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS BLUE SHIELD
Number 51053507
State AL

Incorporator

Name Role
ROSS, JOHN D Incorporator
WOODYARD, HILDA Incorporator
DAUGHERTY, LOIS Incorporator

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State