# TOWN OF BLOUNTSVILLE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184430209
- **Authorized official:** MR. JACOB DEWAYNE MIKELL (DEPUTY CHIEF)
- **Authorized official phone:** (205) 572-5497

## Contact information

- **Practice address:** 68053 MAIN ST, BLOUNTSVILLE, AL 35031-3361
- **Practice address phone:** (205) 572-5497
- **Mailing address:** PO BOX 361706, BIRMINGHAM, AL 35236-1706
- **Mailing address phone:** (205) 823-7076
- **Mailing address fax:** (205) 978-9876

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | — | NULL | Yes |

## Other

- **Enumeration date:** 12/04/2024
- **Last updated:** 12/04/2024