Active NPI
Southern Ambulance Transport Inc
- Ambulance
- Wedowee, AL
National Provider Identifier
1073598264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 0678
- Legal business name
- SOUTHERN AMBULANCE TRANSPORT INC
- Practice address
- 500 Woodland Ave E
Wedowee, AL 36278-5132 - Phone
- (256) 357-2222
- Fax
- (256) 357-0276
- NPI assigned
- Dec 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Steven Shane Hyde
- Title
- Emp Paramedic Ambulance Service
- Phone
- (256) 257-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 0678 | AL | Primary |
Addresses
Primary practice location
500 Woodland Ave E
Wedowee, AL 36278-5132
Mailing address
500 Woodland Ave E
Wedowee, AL 36278-5132
Phone (256) 357-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200056101 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070215000442 | AL | Part B Supplier - Ambulance Service Supplier | 9133121486 | Practice locations: Wedowee, AL |
National Provider Directory
National Provider DirectoryLocations
17054 Highway 431
Wedowee, AL 36278
Phone (256) 357-2315
500 Woodland Ave E
Wedowee, AL 36278
Phone (256) 357-2222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759190400000",
"number": "1073598264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WOODLAND AVE E",
"city": "WEDOWEE",
"state": "AL",
"postal_code": "362785132",
"telephone_number": "256-357-2222",
"fax_number": "256-357-0276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WOODLAND AVE E",
"city": "WEDOWEE",
"state": "AL",
"postal_code": "362785132",
"telephone_number": "256-357-2222",
"fax_number": "256-357-0276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN AMBULANCE TRANSPORT INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-09",
"last_updated": "2025-09-30",
"certification_date": "2025-09-30",
"status": "A",
"authorized_official_last_name": "HYDE",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "SHANE",
"authorized_official_title_or_position": "EMP PARAMEDIC AMBULANCE SERVICE",
"authorized_official_telephone_number": "256-257-2222",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "AL",
"license": "0678",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200056101",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wedowee, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.