Organization Active NPI

Town of Rehobeth

  • Land Ambulance
  • Rehobeth, AL
National Provider Identifier
1013668920
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF REHOBETH
Practice address
235 Malvern Rd
Rehobeth, AL 36301-7331
Phone
(334) 702-8832
NPI assigned
Jan 12, 2022
Last updated
Apr 4, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TOWN OF REHOBETHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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

Authorized official

Name
Tabatha Watson
Title
Admin Assistant
Phone
(334) 671-5829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

235 Malvern Rd
Rehobeth, AL 36301-7331

Mailing address

221 Malvern Rd
Rehobeth, AL 36301-7331
Phone (334) 671-5829

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address twatson@rehobethal.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220405002805 AL Part B Supplier - Ambulance Service Supplier 7416343199 Practice locations: Rehobeth, AL

National Provider Directory

National Provider Directory
Part of
Town of Rehobeth

Locations

221 Malvern Rd
Rehobeth, AL 36301

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1013668920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MALVERN RD",
            "city": "REHOBETH",
            "state": "AL",
            "postal_code": "363017331",
            "telephone_number": "334-671-5829",
            "fax_number": "334-673-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 MALVERN RD",
            "city": "REHOBETH",
            "state": "AL",
            "postal_code": "363017331",
            "telephone_number": "334-702-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF REHOBETH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF REHOBETH",
        "enumeration_date": "2022-01-12",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "TABATHA",
        "authorized_official_title_or_position": "ADMIN ASSISTANT",
        "authorized_official_telephone_number": "334-671-5829"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "twatson@rehobethal.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "221 Malvern Rd",
            "city": "Rehobeth",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363017331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rehobeth, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.