Healthcare Provider Details

I. General information

NPI: 1295896264
Provider Name (Legal Business Name): TOWN OF COLUMBIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2006
Last Update Date: 10/21/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S MAIN ST
COLUMBIA AL
36319-3669
US

IV. Provider business mailing address

PO BOX 339
COLUMBIA AL
36319-0339
US

V. Phone/Fax

Practice location:
  • Phone: 334-696-4412
  • Fax: 334-696-8083
Mailing address:
  • Phone: 334-696-4417
  • Fax: 334-696-8083

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number184
License Number StateAL

VIII. Authorized Official

Name: ERNEST CLAYTON HAMM
Title or Position: EMS CAPTAIN
Credential:
Phone: 334-696-4417