# MED-CALL OF THE SHOALS

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

## Provider details

- **NPI number:** 1821165374
- **Authorized official:** MR. DAVID O CHILDERS (PRESIDENT)
- **Authorized official phone:** (256) 340-0555

## Contact information

- **Practice address:** 1414 7TH AVE SE STE B, DECATUR, AL 35601-4256
- **Practice address phone:** (256) 340-0555
- **Practice address fax:** (256) 340-0501
- **Mailing address:** 1414 7TH AVE SE STE B, DECATUR, AL 35601-4256
- **Mailing address phone:** (256) 340-0555
- **Mailing address fax:** (256) 340-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 922 | AL | Yes |

## Other

- **Enumeration date:** 11/29/2006
- **Last updated:** 04/13/2010