NPI 1720163090 · live from the CMS NPI Registry
Fayette Medical Center Ambulance
Ambulance, Land Transport in Fayette, AL. National Provider Identifier 1720163090, active.
NPI record
| NPI | 1720163090 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 1653 Temple Ave N, Fayette, AL 35555 |
| Practice phone | 205-343-8500 |
| Mailing address | 809 University Blvd E, Tuscaloosa, AL 35401 |
| Enumerated | October 26, 2006 |
| Last updated | April 22, 2022 |
| Authorized official | Keri Hindman, Paitent Accounts Director |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | 226 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.