Organization
CITY OF TRUSSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY CLAYTON SHOTTS (FIRE CHIEF)
(205) 823-7076
Entity
Organization
Contact information
Practice address
131 MAIN ST, TRUSSVILLE, AL 35173-1434
(205) 655-7478
(205) 856-8498
Mailing address
PO BOX 361706, BIRMINGHAM, AL 35236-1706
(205) 823-7076
(205) 978-9876
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3679
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00134702
RAILROAD MEDICARE
AL
Enumeration date
01/09/2007
Last updated
09/12/2018
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