Organization Active NPI

Opportunity EMS Inc

  • Ambulance
  • Opp, AL
National Provider Identifier
1063402501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
509 Issued in AL
Legal business name
OPPORTUNITY EMS INC
Practice address
1107 W Cumming Ave
Opp, AL 36467-2717
Phone
(334) 493-0911
Fax
(334) 493-4042
NPI assigned
Oct 26, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Haywiood F Nowlin
Title
Owner
Phone
(334) 493-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 509 AL Primary

Addresses

Primary practice location

1107 W Cumming Ave
Opp, AL 36467-2717

Mailing address

1107 W Cumming Ave
Opp, AL 36467-2717
Phone (334) 493-0911

Other identifiers 1

IdentifierTypeStateIssuer
510-78716OtherALBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070118000505 AL Part B Supplier - Ambulance Service Supplier 1951302926 Practice locations: Opp, AL

National Provider Directory

National Provider Directory

Locations

1107 W Cumming Ave
Opp, AL 36467
Phone (334) 493-0911

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063402501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 W CUMMING AVE",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364672717",
            "telephone_number": "334-493-0911",
            "fax_number": "334-493-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W CUMMING AVE",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364672717",
            "telephone_number": "334-493-0911",
            "fax_number": "334-493-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPPORTUNITY EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOWLIN",
        "authorized_official_first_name": "HAYWIOOD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-493-0911",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "510-78716",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.