Dekalb County Hospital Association

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

202 Issued in AL

Legal business name

DEKALB COUNTY HOSPITAL ASSOCIATION

Doing business as

DeKalb Ambulance Service

Practice address

208 Airport Rd W
Fort Payne, AL 35968-3335

Phone

(256) 845-4027

Fax

(256) 845-5860

NPI assigned

Oct 17, 2006

Last updated

Nov 29, 2011By 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

Ms. Andrea B Williams

Title

Chief Financial Officer

Phone

(256) 845-4027

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• DeKalb Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322524800000",
    "number": "1013098300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680643",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359681607",
            "telephone_number": "256-845-4027",
            "fax_number": "256-845-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 AIRPORT RD W",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683335",
            "telephone_number": "256-845-4027",
            "fax_number": "256-845-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEKALB COUNTY HOSPITAL ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-11-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "256-845-4027",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200025108",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DeKalb Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.