MEDICARE: TARRANT CITY

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	251300000X	Local Education Agency (LEA)

General Provider Information

NPI Number	:	1184822884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TARRANT CITY

Provider Business Mailing Address
First Line	:	1318 ALABAMA ST
Second Line	:
City	:	TARRANT
State	:	AL
Zip	:	35217-3035
Country	:	US
Telephone Number	:	205-849-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	1318 ALABAMA ST
Second Line	:
City	:	TARRANT
State	:	AL
Zip	:	35217-3035
Country	:	US
Telephone Number	:	205-849-3700
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. MARTHA P RIZZUTO
Credential	:
Telephone Number	:	205-849-3700

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	08/22/2020

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Directions to “TARRANT CITY ” Practice Location

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