| Name: | Still Waters Volunteer Fire and Rescue, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 22 Jun 1993 (31 years ago) (Companies founded in June 1993) |
| Entity Number: | 000-813-310 |
| Register Number: | 000813310 |
| ZIP code: | 36853 (Companies in Tallapoosa, 36853) |
| County: | Tallapoosa |
| Place of Formation: | Tallapoosa County |
| Registered Office Street Address: | 1000 STILL WATERS DRIVEDADEVILLE, AL 36853 |
Activities
VOLUNTEER FIRE DEPARTMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285702092 | 2006-12-01 | 2013-02-18 | 77 STILLWATERS DR, DADEVILLE, AL, 368534675, US | 77 STILLWATERS DR, DADEVILLE, AL, 368534675, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-825-0582 |
Authorized person
| Name | SHERRI WRIGHT |
| Role | EMS DIRECTOR |
| Phone | 2568250582 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| License Number | 382 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000056059 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD AL |
| Number | 051056059 |
| State | AL |
| Name | Role |
|---|---|
| LUNSFORD, HOLLIS | Incorporator |
| WASHBURN, ROY | Incorporator |
| KNEPP, LOREN | Incorporator |
| DOTHARD, BOB | Incorporator |
| Name | Role |
|---|---|
| WASHBURN, ROY | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
