Healthcare Provider Details

I. General information

NPI: 1932261898
Provider Name (Legal Business Name): CAHABA VALLEY FIRE AND EMERGENCY MEDICAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 08/15/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 NARROWS DR
BIRMINGHAM AL
35242-8627
US

IV. Provider business mailing address

145 NARROWS DR
BIRMINGHAM AL
35242-8627
US

V. Phone/Fax

Practice location:
  • Phone: 205-991-6664
  • Fax: 205-995-0831
Mailing address:
  • Phone: 205-991-6664
  • Fax: 205-978-9876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number145
License Number StateAL

VIII. Authorized Official

Name: JAMES D WITHERINGTON III
Title or Position: FIRE CHIEF/OWNER
Credential:
Phone: 205-408-7734