NPIMap

Organization Active NPI

Northwest EMS Inc.

Doing business as Phil Campbell Rescue Squad

  • Land Ambulance
  • Phil Campbell, AL
National Provider Identifier
1124103312
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
584 Issued in AL
Legal business name
NORTHWEST EMS INC.
Doing business as
Phil Campbell Rescue Squad
Practice address
3520 Broad St.
Phil Campbell, AL 35581-3646
Phone
(205) 993-4242
NPI assigned
Oct 26, 2006
Last updated
Aug 22, 2020By the provider in NPPES
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
Barry M Pounders
Title
President
Phone
(256) 331-4662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 584 AL Primary

Addresses

Primary practice location

3520 Broad St.
Phil Campbell, AL 35581-3646

Mailing address

PO Box 206
Phil Campbell, AL 35581-0206
Phone (205) 993-4242

Other names 1

  • Phil Campbell Rescue Squad Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000188 AL Part B Supplier - Ambulance Service Supplier 6103883616 Practice locations: Phil Campbell, AL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124103312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 206",
            "city": "PHIL CAMPBELL",
            "state": "AL",
            "postal_code": "355810206",
            "telephone_number": "205-993-4242",
            "fax_number": "256-331-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3520 BROAD ST.",
            "city": "PHIL CAMPBELL",
            "state": "AL",
            "postal_code": "355813646",
            "telephone_number": "205-993-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST EMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POUNDERS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-331-4662"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Phil Campbell Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phil Campbell, 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.