Provider Demographics
NPI:1174500078
Name:CITY OF ALBERTVILLE
Entity type:Organization
Organization Name:CITY OF ALBERTVILLE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CITY CLERK
Authorized Official - Prefix:
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-891-0752
Mailing Address - Street 1:PO BOX 1248
Mailing Address - Street 2:
Mailing Address - City:ALBERTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35950-0021
Mailing Address - Country:US
Mailing Address - Phone:256-891-8200
Mailing Address - Fax:256-891-8299
Practice Address - Street 1:212 S BROAD ST
Practice Address - Street 2:
Practice Address - City:ALBERTVILLE
Practice Address - State:AL
Practice Address - Zip Code:35950-2214
Practice Address - Country:US
Practice Address - Phone:256-891-8230
Practice Address - Fax:256-891-8299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-30
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL108341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL200048108Medicaid
AL510 54008OtherBCBSAL