MEDICARE: CITY OF ALBERTVILLE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	108	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	510 54008	OTHER	AL	BCBSAL

General Provider Information

NPI Number	:	1174500078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF ALBERTVILLE

Provider Business Mailing Address
First Line	:	PO BOX 1248
Second Line	:
City	:	ALBERTVILLE
State	:	AL
Zip	:	35950-0021
Country	:	US
Telephone Number	:	256-891-8200
Fax Number	:	256-891-8299

Provider Business Practice Location Address
First Line	:	212 S BROAD ST
Second Line	:
City	:	ALBERTVILLE
State	:	AL
Zip	:	35950-2214
Country	:	US
Telephone Number	:	256-891-8230
Fax Number	:	256-891-8299

Authorized Official
Title or Position	:	CITY CLERK
Name	:	PHYLLIS WEBB
Credential	:
Telephone Number	:	256-891-0752

Provider Enumeration Date	:	12/30/2005
Last Update Date	:	03/06/2026

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Directions to “CITY OF ALBERTVILLE ” Practice Location

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