Healthcare Provider Details

I. General information

NPI: 1205065406
Provider Name (Legal Business Name): CONCORD FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6798 WARRIOR RIVER RD
BESSEMER AL
35023-8001
US

IV. Provider business mailing address

PO BOX 361706
HOOVER AL
35236-1706
US

V. Phone/Fax

Practice location:
  • Phone: 205-491-1170
  • Fax: 205-491-9801
Mailing address:
  • Phone: 205-823-7076
  • Fax: 205-978-9876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number187
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number187
License Number StateAL

VIII. Authorized Official

Name: MR. ROBERT MILLER
Title or Position: FIRE CHIEF / OWNER
Credential: EMT, PARAMEDIC
Phone: 205-491-1170