Organization Active NPI

Concord Fire District

  • Ambulance
  • Bessemer, AL
National Provider Identifier
1205065406
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
187 Issued in AL
Legal business name
CONCORD FIRE DISTRICT
Practice address
6798 Warrior River Rd
Bessemer, AL 35023-8001
Phone
(205) 491-1170
Fax
(205) 491-9801
NPI assigned
Jul 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Mr. Robert Miller, EMT, PARAMEDIC
Title
Fire Chief / Owner
Phone
(205) 491-1170

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 187 AL Primary
Land Ambulance 3416L0300X 187 AL

Addresses

Primary practice location

6798 Warrior River Rd
Bessemer, AL 35023-8001

Mailing address

PO Box 361706
Hoover, AL 35236-1706
Phone (205) 823-7076

Other names 1

  • Concord Fire District Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091102000447 AL Part B Supplier - Ambulance Service Supplier 8426195199 Practice locations: Bessemer, AL

National Provider Directory

National Provider Directory

Locations

6798 Warrior River Rd
Bessemer, AL 35023
Phone (205) 491-1170

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1205065406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361706",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352361706",
            "telephone_number": "205-823-7076",
            "fax_number": "205-978-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6798 WARRIOR RIVER RD",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350238001",
            "telephone_number": "205-491-1170",
            "fax_number": "205-491-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-08",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "FIRE CHIEF / OWNER",
        "authorized_official_telephone_number": "205-491-1170",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT, PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "187",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "187",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concord Fire District",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.