Active NPI
Clay County Rescue Squad
- Land Ambulance
- Lineville, AL
National Provider Identifier
1114090909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 176
- Legal business name
- CLAY COUNTY RESCUE SQUAD
- Practice address
- 453 Taylor Rd
Lineville, AL 36266 - Phone
- (256) 396-0445
- Fax
- (256) 396-0446
- NPI assigned
- Nov 17, 2006
- Last updated
- Aug 2, 2007
- 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. Pete Dwight Ward
- Title
- Director
- Phone
- (256) 396-0445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 176 | AL | Primary |
Addresses
Primary practice location
453 Taylor Rd
Lineville, AL 36266
Mailing address
PO Box 428
Ashland, AL 36251-0428
Phone (256) 396-0445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070815000301 | AL | Part B Supplier - Ambulance Service Supplier | 2466544887 | Practice locations: Lineville, AL |
National Provider Directory
National Provider DirectoryLocations
453 Taylor Rd
Lineville, AL 36266
Phone (205) 354-4546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186012800000",
"number": "1114090909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 428",
"city": "ASHLAND",
"state": "AL",
"postal_code": "362510428",
"telephone_number": "256-396-0445",
"fax_number": "256-396-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 TAYLOR RD",
"city": "LINEVILLE",
"state": "AL",
"postal_code": "36266",
"telephone_number": "256-396-0445",
"fax_number": "256-396-0446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAY COUNTY RESCUE SQUAD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2007-08-02",
"status": "A",
"authorized_official_last_name": "WARD",
"authorized_official_first_name": "PETE",
"authorized_official_middle_name": "DWIGHT",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "256-396-0445",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AL",
"license": "176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lineville, AL
- Clay County Health Dept Prev Health Ed
- Clay County Health Dept Pri Care
- Clay County Health Dept STD
- Clay County Health Dept VFC Immun
- Clay County Medical Clinics, P.C.
- Melissa M Coefield, NURSE PRACTITIONER
- Natalie Fisher Buescher, OT
- Roger Dale Graben, R.PH., PH.D.
- Ashley Smith Lane, M.D.
- Lineville Health and Rehabilitation, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.