Active NPI
Shoals Ambulance LLC
Doing business as Priority Ambulance
- Land Ambulance
- Bessemer, AL
National Provider Identifier
1073871836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1032
- Legal business name
- SHOALS AMBULANCE LLC
- Doing business as
- Priority Ambulance
- Practice address
- 1826 3Rd Ave N Ste 307
Bessemer, AL 35020-4900 - Phone
- (844) 597-4911
- NPI assigned
- Apr 30, 2012
- Last updated
- Aug 9, 2023
- 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
- Robert A Jewell
- Title
- Chief Revenue Integration Officer
- Phone
- (844) 597-4911
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1032 | AL | Primary |
Addresses
Primary practice location
1826 3Rd Ave N Ste 307
Bessemer, AL 35020-4900
Mailing address
PO Box 660882
Dallas, TX 75266-0882
Phone (844) 597-4911
Other names 1
- Priority Ambulance
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120615000006 | AL | Part B Supplier - Ambulance Service Supplier | 6103080593 | Practice locations: Bessemer, AL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Priority Ambulance
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
Locations
1826 3rd Ave N
Ste 307
Bessemer, AL 35020
Phone (205) 481-0911
310 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 275-3342
5251 S East St
Ste 5
Indianapolis, IN 46227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691539200000",
"number": "1073871836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660882",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660882",
"telephone_number": "844-597-4911",
"fax_number": "866-687-2796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 3RD AVE N STE 307",
"city": "BESSEMER",
"state": "AL",
"postal_code": "350204900",
"telephone_number": "844-597-4911"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHOALS AMBULANCE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-30",
"last_updated": "2023-08-09",
"certification_date": "2023-08-09",
"status": "A",
"authorized_official_last_name": "JEWELL",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "CHIEF REVENUE INTEGRATION OFFICER",
"authorized_official_telephone_number": "844-597-4911"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AL",
"license": "1032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Priority Ambulance",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2023; 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.