Provider Demographics
NPI:1932261898
Name:CAHABA VALLEY FIRE AND EMERGENCY MEDICAL DISTRICT
Entity Type:Organization
Organization Name:CAHABA VALLEY FIRE AND EMERGENCY MEDICAL DISTRICT
Other - Org Name:CAHABA VALLEY FIRE AND EMR DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE CHIEF/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:WITHERINGTON
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:205-408-7734
Mailing Address - Street 1:145 NARROWS DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-8627
Mailing Address - Country:US
Mailing Address - Phone:205-991-6664
Mailing Address - Fax:205-978-9876
Practice Address - Street 1:145 NARROWS DR
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-8627
Practice Address - Country:US
Practice Address - Phone:205-991-6664
Practice Address - Fax:205-995-0831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-15
Last Update Date:2013-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
AL1453416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance