Provider Demographics
NPI:1407816713
Name:CITY OF MOBILE
Entity Type:Organization
Organization Name:CITY OF MOBILE
Other - Org Name:MOBILE FIRE RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GOVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TRENIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-208-5817
Mailing Address - Street 1:701 ST FRANCIS STREET
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36602
Mailing Address - Country:US
Mailing Address - Phone:251-208-5817
Mailing Address - Fax:251-208-7754
Practice Address - Street 1:701 ST FRANCIS STREET
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36602
Practice Address - Country:US
Practice Address - Phone:251-208-5817
Practice Address - Fax:251-208-7754
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1430283OtherSENIOR FIRST
AL51057027OtherBLUE CROSS
AL8110012Medicare ID - Type UnspecifiedMEDICARE COMPLETE