Provider Demographics
NPI:1538236211
Name:MOBILE COUNTY EMERGENCY MEDICAL SERVICES SYSTEMS INC.
Entity type:Organization
Organization Name:MOBILE COUNTY EMERGENCY MEDICAL SERVICES SYSTEMS INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DEPUTY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-300-6568
Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:
Mailing Address - City:SEMMES
Mailing Address - State:AL
Mailing Address - Zip Code:36575
Mailing Address - Country:US
Mailing Address - Phone:877-412-2565
Mailing Address - Fax:888-972-9641
Practice Address - Street 1:10394 MOFFETT RD
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575
Practice Address - Country:US
Practice Address - Phone:877-412-2565
Practice Address - Fax:888-972-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-29
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL310341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51057200OtherBCBS OF ALABAMA
AL000057200OtherMEDICARE PROVIDER NUMBER
AL200049113Medicaid