Provider Demographics
NPI:1467548719
Name:CITY OF VALLEY EMS
Entity Type:Organization
Organization Name:CITY OF VALLEY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:B
Authorized Official - Last Name:HAMIL
Authorized Official - Suffix:
Authorized Official - Credentials:NRP
Authorized Official - Phone:334-756-5238
Mailing Address - Street 1:PO BOX 186
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36854
Mailing Address - Country:US
Mailing Address - Phone:334-756-5238
Mailing Address - Fax:334-756-5761
Practice Address - Street 1:20 FOB JAMES DR.
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:AL
Practice Address - Zip Code:36854
Practice Address - Country:US
Practice Address - Phone:334-756-5238
Practice Address - Fax:334-756-5761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1743416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000053843Medicaid
GA000238939XMedicaid
AL051053843OtherBLUE CROSS OF AL
AL051053843OtherBLUE CROSS BLUE SHIELD AL
AL000053843Medicare PIN