Organization Active NPI

Haynes Ambulance of Troy LLC

  • Land Ambulance
  • Troy, AL
National Provider Identifier
1225288681
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HAYNES AMBULANCE OF TROY LLC
Practice address
510 S Brundidge St
Troy, AL 36081-3334
Phone
(334) 265-1208
Fax
(334) 567-6850
NPI assigned
Sep 23, 2008
Last updated
Sep 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Mrs. Brandee H Barrett, EMT-P
Title
Member
Phone
(334) 241-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

510 S Brundidge St
Troy, AL 36081-3334

Mailing address

PO Box 1515
Wetumpka, AL 36092-0028
Phone (334) 241-5224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081217000198 AL Part B Supplier - Ambulance Service Supplier 2365504842 Practice locations: Brundidge, AL; Hayneville, AL; Luverne, AL; Opp, AL; Troy, AL; Union Springs, AL

National Provider Directory

National Provider Directory

Locations

104 Gilmore Rd
Brundidge, AL 36010
Phone (334) 265-1208

104 N Whaley St
Opp, AL 36467
Phone (334) 493-0299

111 Conecuh Ave W
Union Springs, AL 36089
Phone (334) 241-5227

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1225288681",
    "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": "334-241-5224",
            "fax_number": "334-567-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S BRUNDIDGE ST",
            "city": "TROY",
            "state": "AL",
            "postal_code": "360813334",
            "telephone_number": "334-265-1208",
            "fax_number": "334-567-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES AMBULANCE OF TROY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.