Organization Active NPI

Advanced E.M.S., Inc.

  • Land Ambulance
  • Andalusia, AL
National Provider Identifier
1265474522
Registry record updated Jul 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
917 Issued in AL
Legal business name
ADVANCED E.M.S., INC.
Practice address
103 Opp Ave
Andalusia, AL 36420-3812
Phone
(334) 222-4155
Fax
(334) 222-0326
NPI assigned
Jun 12, 2006
Last updated
Jul 9, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2021

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

Authorized official

Name
Mr. Kevin Smith
Title
President/Director EMS
Phone
(601) 422-7281

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 917 AL Primary

Addresses

Primary practice location

103 Opp Ave
Andalusia, AL 36420-3812

Mailing address

PO Box 1870
Andalusia, AL 36420-1231
Phone (334) 222-4155

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061218000408 AL Part B Supplier - Ambulance Service Supplier 5799789509 Practice locations: Andalusia, AL

National Provider Directory

National Provider Directory

Locations

1100 S Three Notch St
Andalusia, AL 36420
Phone (334) 222-4155

1107 W Bypass
Andalusia, AL 36420
Phone (334) 222-4155

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625788800000",
    "number": "1265474522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1870",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364201231",
            "telephone_number": "334-222-4155",
            "fax_number": "334-222-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 OPP AVE",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364203812",
            "telephone_number": "334-222-4155",
            "fax_number": "334-222-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED E.M.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2021-07-09",
        "certification_date": "2021-07-09",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR EMS",
        "authorized_official_telephone_number": "601-422-7281",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; 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.