Provider Demographics
NPI:1972146157
Name:CITY OF TROY
Entity type:Organization
Organization Name:CITY OF TROY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:CURTISS
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:SHAVER
Authorized Official - Suffix:
Authorized Official - Credentials:PARAMEDIC
Authorized Official - Phone:334-566-5943
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-0549
Mailing Address - Country:US
Mailing Address - Phone:334-566-5943
Mailing Address - Fax:334-239-4512
Practice Address - Street 1:200 S GEO WALLACE DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-4606
Practice Address - Country:US
Practice Address - Phone:334-566-5943
Practice Address - Fax:334-239-4512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-21
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport