Active NPI
Bell's Healdsburg Ambulance Service Inc.
- Paramedic
- Healdsburg, CA
National Provider Identifier
1265565956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- Legal business name
- BELL'S HEALDSBURG AMBULANCE SERVICE INC.
- Practice address
- 434 Powell Ave
Healdsburg, CA 95448-3430 - Phone
- (707) 433-1408
- Fax
- (707) 433-1461
- NPI assigned
- Mar 13, 2007
- Last updated
- Aug 22, 2020
- 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
- Pamela Bell Simmons
- Title
- Ceo
- Phone
- (707) 433-1408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | Primary |
Addresses
Primary practice location
434 Powell Ave
Healdsburg, CA 95448-3430
Mailing address
PO Box 726
434 Powell Ave.
Healdsburg, CA 95448-0726
Phone (707) 433-1408
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ31263Z | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120320000544 | CA | Part B Supplier - Ambulance Service Supplier | 7012177694 | Practice locations: Healdsburg, CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265565956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 726",
"address_2": "434 POWELL AVE.",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954480726",
"telephone_number": "707-433-1408",
"fax_number": "707-433-1461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "434 POWELL AVE",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483430",
"telephone_number": "707-433-1408",
"fax_number": "707-433-1461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BELL'S HEALDSBURG AMBULANCE SERVICE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SIMMONS",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "BELL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "707-433-1408"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ31263Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Healdsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.