Provider Demographics
NPI:1811450331
Name:CITY OF ORANGE BEACH
Entity type:Organization
Organization Name:CITY OF ORANGE BEACH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMMERLING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-981-3567
Mailing Address - Street 1:PO BOX 458
Mailing Address - Street 2:
Mailing Address - City:ORANGE BEACH
Mailing Address - State:AL
Mailing Address - Zip Code:36561-0458
Mailing Address - Country:US
Mailing Address - Phone:251-981-6166
Mailing Address - Fax:
Practice Address - Street 1:25853 JOHN SNOOK DRIVE
Practice Address - Street 2:
Practice Address - City:ORANGE BEACH
Practice Address - State:AL
Practice Address - Zip Code:36561
Practice Address - Country:US
Practice Address - Phone:251-981-6166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport