# CITY OF NORTHPORT

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

## Provider details

- **NPI number:** 1568194793
- **Authorized official:** MR. TONY GILL (CAPTAIN)
- **Authorized official phone:** (205) 765-4664

## Contact information

- **Practice address:** 5500 HIGHWAY 69 N, NORTHPORT, AL 35473-1545
- **Practice address phone:** (205) 333-3020
- **Mailing address:** 5500 HIGHWAY 69 N, NORTHPORT, AL 35473-1545
- **Mailing address phone:** (205) 469-4263

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146L00000X | Paramedic | — | NULL | — |
| 146L00000X | Paramedic | — | — | — |
| 146M00000X | Intermediate Emergency Medical Technician | — | NULL | — |
| 146M00000X | Intermediate Emergency Medical Technician | — | — | — |
| 146N00000X | Basic Emergency Medical Technician | — | NULL | — |
| 146N00000X | Basic Emergency Medical Technician | — | — | — |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | NULL | Yes |
| 207PE0004X | Emergency Medical Services (Emergency Medicine) Physician | — | — | Yes |
| 3416L0300X | Land Ambulance | — | NULL | — |

## Other

- **Enumeration date:** 06/27/2022
- **Last updated:** 11/16/2022