Provider Demographics
NPI:1801996145
Name:ABBEVILLE FIRE & RESCUE
Entity type:Organization
Organization Name:ABBEVILLE FIRE & RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-585-3338
Mailing Address - Street 1:201 BRADLEY ST
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36310-2202
Mailing Address - Country:US
Mailing Address - Phone:334-585-3338
Mailing Address - Fax:
Practice Address - Street 1:201 BRADLEY ST
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36310-2202
Practice Address - Country:US
Practice Address - Phone:334-585-3338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL8223416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-99062OtherBLUE CROSS ALABAMA