City of Montgomery

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF MONTGOMERY

Doing business as

Montgomery Fire Rescue

Practice address

19 Madison Ave
Montgomery, AL 36104-2517

Phone

(334) 625-3960

NPI assigned

Mar 17, 2022

Organization subpart

Yes

Parent organization

MONTGOMERY FIRE RESCUEAs reported in NPPES

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

Authorized official

Name

Mr. Clifford Daryl Thornton

Title

Captain

Phone

(334) 313-0374

Specialties & licenses 1

Addresses

Other names 1

• Montgomery Fire Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Part of

Montgomery Firerescue

Locations

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

{
    "created_epoch": "1647475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647475200000",
    "number": "1225786320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MADISON AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361042517",
            "telephone_number": "334-625-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MADISON AVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361042517",
            "telephone_number": "334-625-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MONTGOMERY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MONTGOMERY FIRE RESCUE",
        "enumeration_date": "2022-03-17",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "DARYL",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "334-313-0374",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montgomery Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jose Juan Chung Jr., M.D.
• Michelle Y Chung
• Tai Chung, M.D.
• Lacheryl Brinson Cillie
• City Drug, LLC
• City to City Transportation
• Jacqueline Clare, NP-C
• Clark Psychological Associates
• Ansenio Clark, MLT
• Daniel Curtis Clark, PH.D.

• Land Ambulance in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; 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.