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Fayette Medical Center Ambulance

Ambulance, Land Transport in Fayette, AL. Organization (NPI-2).

NPI number1720163090
StatusActive
Last updated in NPPESApr 22, 2022

Details

NPI
1720163090
Entity type
Organization (NPI-2)
Legal business name
Fayette Medical Center Ambulance
Organization subpart
No
Enumeration date
Oct 26, 2006
Certification date
Apr 22, 2022
Last updated
Apr 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3416L0300X Ambulance, Land Transport226ALYes

Practice location

1653 Temple Ave N
Fayette, AL 35555-1314

Phone 205-343-8500 · Fax 205-759-6397

Mailing address

809 University Blvd E
Tuscaloosa, AL 35401-2029

Phone 205-343-8500 · Fax 205-759-6397

Authorized official

Keri H Hindman
Paitent Accounts Director
2057597379

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