| Organization Name: | CITY OF BOAZ |
| NPI Number: | 1346568003 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MIKE SPARKS (CHIEF) |
| Mailing Address: | 201 Brown St Boaz |
| State: | AL US |
| Postal Code: | 359571907 |
| Phone Number: | 2565938488 |
| Fax Number: | 2568405353 |
| NPI Enumeration Date: | 05/05/2010 |
| NPI Last Update Date: | 10/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 090914 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |