Provider Demographics
NPI:1144917907
Name:COOSA COUNTY COMMISSION
Entity type:Organization
Organization Name:COOSA COUNTY COMMISSION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HOLLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:OSBOURN
Authorized Official - Suffix:
Authorized Official - Credentials:NR PARAMEDIC
Authorized Official - Phone:256-510-4288
Mailing Address - Street 1:PO BOX 10
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:AL
Mailing Address - Zip Code:35136-0010
Mailing Address - Country:US
Mailing Address - Phone:256-377-1350
Mailing Address - Fax:256-377-2524
Practice Address - Street 1:66 COMMUNICATION DR
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:AL
Practice Address - Zip Code:35136-1566
Practice Address - Country:US
Practice Address - Phone:256-510-4288
Practice Address - Fax:256-377-2524
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COOSA COUNTY COMMISSION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-21
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport