Provider Demographics
NPI:1952495574
Name:CITY OF VESTAVIA HILLS
Entity Type:Organization
Organization Name:CITY OF VESTAVIA HILLS
Other - Org Name:CITY OF VESTAVIA HILLS FIRE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:ST JOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-978-0225
Mailing Address - Street 1:PO BOX 660854
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35266-0854
Mailing Address - Country:US
Mailing Address - Phone:205-956-1172
Mailing Address - Fax:205-384-9758
Practice Address - Street 1:513 MONTGOMERY HIGHWAY
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35216
Practice Address - Country:US
Practice Address - Phone:205-978-0225
Practice Address - Fax:205-978-0205
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4103416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000055610Medicaid
AL1952495574OtherTRICARE SOUTH
AL510-55610OtherBCBS
AL1952495574OtherTRICARE SOUTH
AL000055610Medicare PIN