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Organization
CITY OF MOUNTAIN BROOK
Active
Organization
CITY OF MOUNTAIN BROOK
Active
Other names
City of Mountain Brook Fire Department
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT W EZEKIEL PARAMEDIC (CHIEF)
(205) 802-3838
Entity
Organization
Contact information
Practice address
100 HOYT LN, BIRMINGHAM, AL 35213-3710
(205) 802-3838
(205) 879-5919
Mailing address
PO BOX 130597, BIRMINGHAM, AL 35213-0597
(205) 956-1172
(205) 384-9758
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0318
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427141126
TRICARE SOUTH
AL
05
—
200037116
—
AL
01
—
510-26069
BCBS
AL
Enumeration date
10/02/2006
Last updated
06/10/2010
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