Organization
CITY OF JACKSONVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY L SMITH (MAYOR)
(256) 435-7611
Entity
Organization
Contact information
Practice address
506 CHINABEE AVE SE, JACKSONVILLE, AL 36265-2881
(256) 435-7611
(256) 435-4103
Mailing address
320 CHURCH AVE SE, JACKSONVILLE, AL 36265-2651
(256) 435-7611
(256) 435-4103
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
040281
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200008103
—
AL
Enumeration date
07/20/2005
Last updated
02/09/2011
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