Coosa County Commission
Organization Active NPI Land Ambulance · Rockford, AL
NPI 1144917907 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1144917907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- COOSA COUNTY COMMISSION
- Practice address
- 66 Communication Dr
Rockford, AL 35136-1566 - Phone
- (256) 510-4288
- Fax
- (256) 377-2524
- NPI assigned
- Apr 21, 2023
- Organization subpart
- Yes
- Parent organization (as reported)
- COOSA COUNTY COMMISSION
Authorized official
- Name
- Hollie Osbourn, NR PARAMEDIC
- Title
- EMS Director
- Phone
- (256) 510-4288
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260303001052 | AL | Part B Supplier - Ambulance Service Supplier | 8820570690 | Practice locations: Rockford, AL |
National Provider Directory
- Part of
- Coosa County Commission
Locations
66 Communication Dr
Rockford, AL 35136
Phone (256) 510-4288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
66 Communication Dr
Rockford, AL 35136-1566
Mailing address
PO Box 10
Rockford, AL 35136-0010
Phone (256) 377-1350
Other names
- Coosa County Ambulance
Other providers in Rockford, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.