Healthcare Provider Details

I. General information

NPI: 1124103312
Provider Name (Legal Business Name): NORTHWEST EMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3520 BROAD ST.
PHIL CAMPBELL AL
35581-3646
US

IV. Provider business mailing address

PO BOX 206
PHIL CAMPBELL AL
35581-0206
US

V. Phone/Fax

Practice location:
  • Phone: 205-993-4242
  • Fax:
Mailing address:
  • Phone: 205-993-4242
  • Fax: 256-331-6363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number584
License Number StateAL

VIII. Authorized Official

Name: BARRY M POUNDERS
Title or Position: PRESIDENT
Credential:
Phone: 256-331-4662