Healthcare Provider Details

I. General information

NPI: 1336256296
Provider Name (Legal Business Name): NORTH SHELBY COUNTY FIRE AND EMERGENCY MEDICAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 01/02/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4617 VALLEYDALE RD
BIRMINGHAM AL
35242-4608
US

IV. Provider business mailing address

PO BOX 361706
BIRMINGHAM AL
35236-1706
US

V. Phone/Fax

Practice location:
  • Phone: 205-991-6439
  • Fax: 205-991-7331
Mailing address:
  • Phone: 205-823-7076
  • Fax: 205-978-9876

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number328
License Number StateAL

VIII. Authorized Official

Name: EUGENE BUDDY TYLER
Title or Position: FIRE CHIEF/OWNER
Credential:
Phone: 205-991-6439