Provider Demographics
NPI:1568596443
Name:THE CITY OF GREENVILLE FIRE DEPARTMENT
Entity Type:Organization
Organization Name:THE CITY OF GREENVILLE FIRE DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:EUGENE
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-382-3134
Mailing Address - Street 1:PO BOX 158
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-0158
Mailing Address - Country:US
Mailing Address - Phone:334-382-3134
Mailing Address - Fax:334-382-7063
Practice Address - Street 1:200 CEDAR ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-2206
Practice Address - Country:US
Practice Address - Phone:334-382-3134
Practice Address - Fax:334-382-7063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2503416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport