Healthcare Provider Details

I. General information

NPI: 1174500078
Provider Name (Legal Business Name): CITY OF ALBERTVILLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2005
Last Update Date: 03/01/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 S BROAD ST
ALBERTVILLE AL
35950-2214
US

IV. Provider business mailing address

PO BOX 1248
ALBERTVILLE AL
35950-0021
US

V. Phone/Fax

Practice location:
  • Phone: 256-891-8230
  • Fax: 256-891-8299
Mailing address:
  • Phone: 256-891-8200
  • Fax: 256-891-8299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number108
License Number StateAL

VIII. Authorized Official

Name: PHYLLIS WEBB
Title or Position: CITY CLERK
Credential:
Phone: 256-891-0752