NPIMap

Organization Active NPI

PC Ambulance, Inc.

Doing business as Perry Ambulance Service

  • Ambulance
  • Marion, AL
National Provider Identifier
1174208573
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
PC AMBULANCE, INC.
Doing business as
Perry Ambulance Service
Practice address
511 E Lafayette St
Marion, AL 36756-2323
Phone
(205) 230-8858
NPI assigned
Jun 21, 2023
Last updated
Aug 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Authorized official

Name
Dr. William Shane Lee, MDNPI 1568550721
Title
President
Phone
(334) 878-5500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

511 E Lafayette St
Marion, AL 36756-2323

Mailing address

PO Box 361504
Birmingham, AL 35236-1504
Phone (205) 230-8858

Other names 1

  • Perry Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231011002709 AL Part B Supplier - Ambulance Service Supplier 9830544840 Practice locations: Marion, AL

National Provider Directory

National Provider Directory

Locations

511 E Lafayette St
Marion, AL 36756
Phone (205) 230-8858

515 E Lafayette St
Marion, AL 36756
Phone (205) 230-8858

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692316800000",
    "number": "1174208573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361504",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352361504",
            "telephone_number": "205-230-8858",
            "fax_number": "205-538-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E LAFAYETTE ST",
            "city": "MARION",
            "state": "AL",
            "postal_code": "367562323",
            "telephone_number": "205-230-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PC AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "334-878-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perry Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perry Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marion, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.