Organization Active NPI

South Dale EMS Inc

  • Land Ambulance
  • Midland City, AL
National Provider Identifier
1265080741
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SOUTH DALE EMS INC
Practice address
68 4TH Street
Midland City, AL 36350-1136
Phone
(334) 873-4208
NPI assigned
Aug 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Authorized official

Name
Mr. Jeffrey Wayne Atkins, AEMT. LPN
Title
Director
Phone
(334) 718-4158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

68 4TH Street
Midland City, AL 36350-1136

Mailing address

PO Box 1136
Midland City, AL 36350-1136
Phone (334) 718-4158

National Provider Directory

National Provider Directory

Locations

400 Headquarters St
Dothan, AL 36303
Phone (334) 245-6072

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660089600000",
    "number": "1265080741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1136",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363501136",
            "telephone_number": "334-718-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 4TH STREET",
            "city": "MIDLAND CITY",
            "state": "AL",
            "postal_code": "363501136",
            "telephone_number": "334-873-4208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH DALE EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-28",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "334-718-4158",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "AEMT. LPN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.