| Organization Name: | BRYAN WHITFIELD MEM HOSP AMB |
| NPI Number: | 1902933757 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL D MARSHALL (CEO ADMINISTRATOR) |
| Mailing Address: | 105 Us Highway 80 E Demopolis |
| State: | AL US |
| Postal Code: | 367323605 |
| Phone Number: | 3342894000 |
| Fax Number: | 3342872594 |
| NPI Enumeration Date: | 02/28/2007 |
| NPI Last Update Date: | 02/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |