Active NPI
Concord Fire District
- Ambulance
- Bessemer, AL
National Provider Identifier
1205065406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 187
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091102000447 | AL | Part B Supplier - Ambulance Service Supplier | 8426195199 | Practice locations: Bessemer, AL |
National Provider Directory
National Provider DirectoryLocations
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.