NPIMap

Organization Active NPI

Pridemark EMS, LLC

  • Land Ambulance
  • Opp, AL
National Provider Identifier
1235529363
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
PRIDEMARK EMS, LLC
Practice address
104 N Whaley St
Opp, AL 36467-2142
Phone
(334) 493-0299
Fax
(334) 493-0299
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Bobbie L Jowers
Title
Medical Billing Manager
Phone
(334) 764-4476

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

104 N Whaley St
Opp, AL 36467-2142

Mailing address

104 N Whaley St
Opp, AL 36467-2142
Phone (334) 493-0299

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1235529363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 N WHALEY ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364672142",
            "telephone_number": "334-493-0299",
            "fax_number": "334-493-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 N WHALEY ST",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364672142",
            "telephone_number": "334-493-0299",
            "fax_number": "334-493-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDEMARK EMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "JOWERS",
        "authorized_official_first_name": "BOBBIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "334-764-4476"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.