Provider Demographics
NPI:1861547689
Name:NORTH LAMAR COUNTY RESCUE SQUAD, INC.
Entity type:Organization
Organization Name:NORTH LAMAR COUNTY RESCUE SQUAD, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANIE
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:SIZEMORE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, EMT
Authorized Official - Phone:205-698-9111
Mailing Address - Street 1:POST OFFICE BOX 554
Mailing Address - Street 2:5797 HWY 278
Mailing Address - City:SULLIGENT
Mailing Address - State:AL
Mailing Address - Zip Code:35586-0554
Mailing Address - Country:US
Mailing Address - Phone:205-698-9111
Mailing Address - Fax:205-698-8821
Practice Address - Street 1:5797 HWY 278
Practice Address - Street 2:
Practice Address - City:SULLIGENT
Practice Address - State:AL
Practice Address - Zip Code:35586
Practice Address - Country:US
Practice Address - Phone:205-698-9111
Practice Address - Fax:205-698-8821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1072341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance