Active NPI
Advanced E.M.S., Inc.
- Land Ambulance
- Andalusia, AL
National Provider Identifier
1265474522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 917
- 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, 2021
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061218000408 | AL | Part B Supplier - Ambulance Service Supplier | 5799789509 | Practice locations: Andalusia, AL |
National Provider Directory
National Provider DirectoryLocations
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.