Ccems Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

611 Issued in AL

Legal business name

CCEMS INC

Practice address

200 Buford St
Elba, AL 36323-1706

Phone

(334) 347-0333

NPI assigned

Oct 18, 2006

Last updated

May 19, 2022By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Laurie Conley

Title

Office Manager/Billing Clerk

Phone

(334) 347-0333

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1003997891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BUFORD ST",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363231706",
            "telephone_number": "334-347-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BUFORD ST",
            "city": "ELBA",
            "state": "AL",
            "postal_code": "363231706",
            "telephone_number": "334-347-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCEMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OFFICE MANAGER/BILLING CLERK",
        "authorized_official_telephone_number": "334-347-0333"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051554333",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  AL",
            "identifier": "515-19604",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicki Bryan
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• Land Ambulance in Elba, AL
• Providers in Elba, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.