Provider Demographics
NPI:1578648952
Name:MED-CALL AMBULANCE SERVICE
Entity Type:Organization
Organization Name:MED-CALL AMBULANCE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:CHILDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-340-0555
Mailing Address - Street 1:1414 7TH AVE SE STE B
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-4256
Mailing Address - Country:US
Mailing Address - Phone:256-340-0555
Mailing Address - Fax:256-340-0501
Practice Address - Street 1:1414 7TH AVE SE STE B
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-4256
Practice Address - Country:US
Practice Address - Phone:256-340-0555
Practice Address - Fax:256-340-0501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9043416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51527637OtherBC/BS OF ALABAMA