Organization
CITY OF NORTHPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY GILL (CAPTAIN)
(205) 765-4664
Entity
Organization
Contact information
Practice address
5500 HIGHWAY 69 N, NORTHPORT, AL 35473-1545
(205) 333-3020
Mailing address
5500 HIGHWAY 69 N, NORTHPORT, AL 35473-1545
(205) 469-4263
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
—
—
146M00000X
Intermediate Emergency Medical Technician
—
—
146N00000X
Basic Emergency Medical Technician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Enumeration date
06/27/2022
Last updated
11/16/2022
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