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The Cherokee Rescue Squad, Inc.

Details

Name: The Cherokee Rescue Squad, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 30 Aug 1978 (46 years ago)
Entity Number: 000-817-457
Register Number: 000817457
County: Colbert
Place of Formation: Colbert County
Principal Address: PO BOX 241CHEROKEE, AL 35616
Principal Address ZIP Code: 35616

Activities RESCUE SQUAD

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134293798 2006-11-17 2008-01-15 PO BOX 241, CHEROKEE, AL, 356160241, US 8020 HIGHWAY 72, CHEROKEE, AL, 356164400, US

Contacts

Phone +1 256-314-5878

Authorized person

Name CRYSTAL HUDDLESTON
Role DIRECTOR
Phone 2563145878

Taxonomy

Taxonomy Code 3416L0300X - Land Ambulance
License Number 157
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS
Number 515-11931
State AL
Issuer MEDICAID
Number 51550582
State AL

Incorporator

Name Role
CAMPBELL, JOHN E Incorporator
WALLACE, CURTIS Incorporator
CLIFTON, JIMMY Incorporator

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State