Healthcare Provider Details

I. General information

NPI: 1407816713
Provider Name (Legal Business Name): CITY OF MOBILE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 ST FRANCIS STREET
MOBILE AL
36602
US

IV. Provider business mailing address

701 ST FRANCIS STREET
MOBILE AL
36602
US

V. Phone/Fax

Practice location:
  • Phone: 251-208-5817
  • Fax: 251-208-7754
Mailing address:
  • Phone: 251-208-5817
  • Fax: 251-208-7754

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: MR. GOVAN TRENIER
Title or Position: ADMINSTRATOR
Credential:
Phone: 251-208-5817