NPIMap

Organization Active NPI

Sherry L and Roy D Baccus

  • Ambulance
  • Muscle Shoals, AL
National Provider Identifier
1114971371
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
912 Issued in AL
Legal business name
SHERRY L AND ROY D BACCUS
Practice address
101 Kimberly Ave
Muscle Shoals, AL 35661-3742
Phone
(256) 383-9898
Fax
(256) 331-1206
NPI assigned
May 20, 2006
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
Mrs. Sherry Louise Baccus
Title
Owner
Phone
(256) 383-9898

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 912 AL Primary

Addresses

Primary practice location

101 Kimberly Ave
Muscle Shoals, AL 35661-3742

Mailing address

101 Kimberly Ave
Muscle Shoals, AL 35661-3742
Phone (256) 383-9898

Other names 1

  • Baccus Ambulance Service Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114971371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 KIMBERLY AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613742",
            "telephone_number": "256-383-9898",
            "fax_number": "256-331-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KIMBERLY AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356613742",
            "telephone_number": "256-383-9898",
            "fax_number": "256-331-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY L AND ROY D BACCUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BACCUS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-383-9898",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Baccus Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muscle Shoals, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.