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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