Provider Demographics
NPI:1619455516
Name:EAST ALABAMA WATER, SEWER, & FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:EAST ALABAMA WATER, SEWER, & FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGREST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-756-7154
Mailing Address - Street 1:150 FOB JAMES DRIVE
Mailing Address - Street 2:PO BOX 37
Mailing Address - City:VALLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36854-0037
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 FOB JAMES DRIVE
Practice Address - Street 2:
Practice Address - City:VALLEY
Practice Address - State:AL
Practice Address - Zip Code:36854
Practice Address - Country:US
Practice Address - Phone:334-756-7150
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-02
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11353416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport