Provider Demographics
NPI:1760169015
Name:CITY OF MONROEVILLE
Entity Type:Organization
Organization Name:CITY OF MONROEVILLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BILLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BLACK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-575-2084
Mailing Address - Street 1:PO BOX 147
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36461-0147
Mailing Address - Country:US
Mailing Address - Phone:251-575-2084
Mailing Address - Fax:
Practice Address - Street 1:160 E CLAIBORNE ST
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:AL
Practice Address - Zip Code:36460-1804
Practice Address - Country:US
Practice Address - Phone:251-575-2084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CITY OF MONROEVILLE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-29
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport