Organization Name: | ST JUDE THADDEUS INTERNAL MEDICINE |
NPI Number: | 1427325687 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RODOLFO M VELUZ (MEDICAL DIRECTOR) |
Mailing Address: | 5431 Beacon Dr Irondale |
State: | AL US |
Postal Code: | 352102862 |
Phone Number: | 2059568767 |
Fax Number: | 2059568704 |
NPI Enumeration Date: | 11/16/2011 |
NPI Last Update Date: | 11/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 146M00000X |
License Number: | MD 9246 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Emergency Medical Service Providers |
Taxonomy Classification: | Emergency Medical Technician, Intermediate |
Taxonomy Specialization: | |
Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |