Provider Demographics
NPI:1225786320
Name:CITY OF MONTGOMERY
Entity Type:Organization
Organization Name:CITY OF MONTGOMERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:MR
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:DARYL
Authorized Official - Last Name:THORNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-313-0374
Mailing Address - Street 1:19 MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36104-2517
Mailing Address - Country:US
Mailing Address - Phone:334-625-3960
Mailing Address - Fax:
Practice Address - Street 1:19 MADISON AVE
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36104-2517
Practice Address - Country:US
Practice Address - Phone:334-625-3960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONTGOMERY FIRE RESCUE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-03-17
Last Update Date:2022-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport