NPIMap

Organization Active NPI

University of Alabama at Birmingham

  • Air Ambulance
  • Birmingham, AL
National Provider Identifier
1073679692
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
002497 Issued in AL
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Practice address
619 19TH St S
Abc 1516
Birmingham, AL 35249-1900
Phone
(205) 934-3645
Fax
(205) 934-4504
NPI assigned
Dec 28, 2006
Organization subpart
Yes
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Mrs. Mary Beth Briscoe
Title
Cfo
Phone
(205) 934-2620

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X 002497 AL Primary
Land Ambulance 3416L0300X 002497 AL

Addresses

Primary practice location

619 19TH St S
Abc 1516
Birmingham, AL 35249-1900

Mailing address

619 19TH St S
Abc 1516
Birmingham, AL 35249-1900
Phone (205) 934-3645

Other identifiers 3

IdentifierTypeStateIssuer
200037112MedicaidAL
200037113MedicaidAL
00553687MedicaidMS

Other names 1

  • Critical Care Transport Other name

National Provider Directory

National Provider Directory
Tax ID family
Uab Sparks Center CDLD48 organizations share this tax ID, including this one
Part of
Uab Sparks Center CDLD

Other organizations with this tax ID 47

Organizations that report the same tax identification number in the National Provider Directory.

View all 47

Locations

619 19th St S
#1516
Birmingham, AL 35249
Phone (205) 934-3645

619 19th St S
Rm G2
Birmingham, AL 35233

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1073679692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "address_2": "ABC 1516",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-3645",
            "fax_number": "205-934-4504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "address_2": "ABC 1516",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352491900",
            "telephone_number": "205-934-3645",
            "fax_number": "205-934-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF ALABAMA AT BIRMINGHAM",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "BRISCOE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "205-934-2620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "AL",
            "license": "002497",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "002497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200037112",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200037113",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00553687",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Critical Care Transport",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.