Organization
MEDICAL TRANSPORT OF ALABAMA
Active
Other names
Medical Transport of Alabama
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD NORMAN PETERSON JR. (GENERAL MANAGER)
(205) 744-7475
Entity
Organization
Contact information
Practice address
5600 SHIRLEY PARK DR, BESSEMER, AL 35022-3402
(727) 271-8611
(205) 744-3829
Mailing address
5600 SHIRLEY PARK DR, BESSEMER, AL 35022-3402
(727) 271-8611
(205) 744-3829
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106
—
AL
Enumeration date
12/19/2019
Last updated
12/19/2019
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