Provider Demographics
NPI:1235693078
Name:CITY OF DEMOPOLIS DBA DEMOPOLIS FIRE & RESCUE
Entity Type:Organization
Organization Name:CITY OF DEMOPOLIS DBA DEMOPOLIS FIRE & RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RODGERS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:334-289-1212
Mailing Address - Street 1:PO BOX 580
Mailing Address - Street 2:
Mailing Address - City:DEMOPOLIS
Mailing Address - State:AL
Mailing Address - Zip Code:36732-0580
Mailing Address - Country:US
Mailing Address - Phone:334-289-1212
Mailing Address - Fax:
Practice Address - Street 1:306 US HIGHWAY 80 W
Practice Address - Street 2:
Practice Address - City:DEMOPOLIS
Practice Address - State:AL
Practice Address - Zip Code:36732-4106
Practice Address - Country:US
Practice Address - Phone:334-289-1212
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF DEMOPOLIS DBA DEMOPOLIS FIRE & RESCUE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport