City of Millbrook

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

308 Issued in AL

Legal business name

CITY OF MILLBROOK

Practice address

3820 Grandview Road
Millbrook, AL 36054

Phone

(334) 285-6707

Fax

(334) 285-0307

NPI assigned

Nov 15, 2006

Organization subpart

Yes

Parent organization

CITY OF MILLBROOKAs reported in NPPES

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

Authorized official

Name

Mr. Larry Russell Brown

Title

Fire Chief

Phone

(334) 285-6707

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Millbrook Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Part of

City of Millbrook

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328054400000",
    "number": "1285707737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 630",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360540013",
            "telephone_number": "334-285-6707",
            "fax_number": "334-285-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 GRANDVIEW ROAD",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "36054",
            "telephone_number": "334-285-6707",
            "fax_number": "334-285-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MILLBROOK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF MILLBROOK",
        "enumeration_date": "2006-11-15",
        "last_updated": "2012-02-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "334-285-6707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200026107",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millbrook Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Cody Bush, DPT
• Kimberly Cantu
• Isabella Carver
• Central Alabama Medical Contractors, Inc
• Savannah Rose Chance
• Paul Arnold Corbier
• Renee Christine Cornelison, RPH
• Countryside Hospice Care, Inc.
• Eve Crooks
• Crown of Glory Cranial Prosthetics

• Land Ambulance in Millbrook, AL
• Providers in Millbrook, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.