Organization Active NPI

Haynes Ambulance of Alabama, Inc

  • Land Ambulance
  • Montgomery, AL
National Provider Identifier
1194737460
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0267 Issued in AL
Legal business name
HAYNES AMBULANCE OF ALABAMA, INC
Practice address
2530 E 5TH St
Montgomery, AL 36107-3106
Phone
(334) 265-1208
NPI assigned
Aug 13, 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. Brandee Haynes Barrett, EMT-P
Title
Director of Billing
Phone
(334) 241-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0267 AL Primary

Addresses

Primary practice location

2530 E 5TH St
Montgomery, AL 36107-3106

Mailing address

PO Box 1515
Wetumpka, AL 36092-0028
Phone (334) 265-1208

Other identifiers 1

IdentifierTypeStateIssuer
510-52993OtherALBLUE CROSS BLUE SHIELD AL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050502000077 AL Part B Supplier - Ambulance Service Supplier 7810936689 Practice locations: Montgomery, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2201159Haynes Ambulance2530 E Fifth Street, Montgomery, AL 36107Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Locations

2530 E 5th St
Montgomery, AL 36107
Phone (334) 262-5134

217 Corman Ave
Troy, AL 36081
Phone (334) 262-5134

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194737460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1515",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360920028",
            "telephone_number": "334-265-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 E 5TH ST",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361073106",
            "telephone_number": "334-265-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES AMBULANCE OF ALABAMA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_middle_name": "HAYNES",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "334-241-5224",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "0267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "510-52993",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.