Active NPI
Town of Rehobeth
- Land Ambulance
- Rehobeth, AL
National Provider Identifier
1013668920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2022
- Organization subpart
- Yes
- Parent organization
- TOWN OF REHOBETH
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | twatson@rehobethal.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.