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Organization
FAYETTE MEDICAL CENTER AMBULANCE
Active
Organization
FAYETTE MEDICAL CENTER AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERI H HINDMAN (PAITENT ACCOUNTS DIRECTOR)
(205) 759-7379
Entity
Organization
Contact information
Practice address
1653 TEMPLE AVE N, FAYETTE, AL 35555-1314
(205) 343-8500
(205) 759-6397
Mailing address
809 UNIVERSITY BLVD E, TUSCALOOSA, AL 35401-2029
(205) 343-8500
(205) 759-6397
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
226
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200029101
—
AL
01
—
CG6924
RAILROAD MEDICARE
AL
Enumeration date
10/26/2006
Last updated
04/22/2022
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