Still Waters Volunteer Fire & Rescue Inc

Key facts

NPI: 1285702092
Entity type: Organization (NPI type 2)
Primary specialty: Land Ambulance 3416L0300X
License: 382 (AL)
Legal business name: STILL WATERS VOLUNTEER FIRE & RESCUE INC
Practice address: 77 Stillwaters Dr
Dadeville, AL 36853-4675
Phone: (256) 825-0582
NPI assigned: Dec 1, 2006
Organization subpart: No

Authorized official

Name: Sherri Wright
Title: EMS Director
Phone: (256) 825-0582

National Provider Directory

Locations

77 Still Waters Dr
Dadeville, AL 36853
Phone (256) 825-0582

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Land Ambulance	3416L0300X	382	AL	Yes

Addresses

Primary practice location

77 Stillwaters Dr
Dadeville, AL 36853-4675

Mailing address

77 Stillwaters Dr
Dadeville, AL 36853-4675
Phone (256) 825-0582

Other identifiers

Identifier	Type	State	Issuer
000056059	Medicaid	AL
051056059	Other	AL	BLUE CROSS BLUE SHIELD AL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 18, 2013.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1285702092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 STILLWATERS DR",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368534675",
            "telephone_number": "256-825-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 STILLWATERS DR",
            "city": "DADEVILLE",
            "state": "AL",
            "postal_code": "368534675",
            "telephone_number": "256-825-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS VOLUNTEER FIRE & RESCUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "256-825-0582"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000056059",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "051056059",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dadeville, AL

All providers in Dadeville, AL · Land Ambulance in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2013. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.