Town of Arition Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

122 Issued in AL

Legal business name

TOWN OF ARITION RESCUE SQUAD

Practice address

837 E Main St
Ariton, AL 36311-5025

Phone

(334) 762-2399

Fax

(334) 762-2399

NPI assigned

Jun 14, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Edsel Eugene Bonds

Title

Secretary-Treasury

Phone

(334) 762-2399

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• NONE Other name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1154326445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "ARITON",
            "state": "AL",
            "postal_code": "363110183",
            "telephone_number": "334-762-2399",
            "fax_number": "334-762-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 E MAIN ST",
            "city": "ARITON",
            "state": "AL",
            "postal_code": "363115025",
            "telephone_number": "334-762-2399",
            "fax_number": "334-762-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ARITION RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "BONDS",
        "authorized_official_first_name": "EDSEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "SECRETARY-TREASURY",
        "authorized_official_telephone_number": "334-762-2399",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200023107",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID SECONDARY",
            "identifier": "000051328",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "51051328",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NONE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Chantal Danielle Shirley, RBT
• Morgan Elizabeth Snell

• All providers in Ariton, AL
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.