Organization Active NPI

Kelley's Ambulance Service LLC

  • Ambulance
  • Atmore, AL
National Provider Identifier
1285741041
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
899 Issued in AL
Legal business name
KELLEY'S AMBULANCE SERVICE LLC
Practice address
212 N Main St
Atmore, AL 36502-1714
Phone
(251) 368-5915
Fax
(251) 368-6161
NPI assigned
Aug 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Joey Dewayne Kelley, EMT-B
Title
Owner
Phone
(251) 368-5915

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 899 AL Primary

Addresses

Primary practice location

212 N Main St
Atmore, AL 36502-1714

Mailing address

PO Box 530
Atmore, AL 36504-0530
Phone (215) 368-5915

National Provider Directory

National Provider Directory

Locations

212 N Main St
Atmore, AL 36502
Phone (251) 368-3003

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285741041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 530",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365040530",
            "telephone_number": "215-368-5915",
            "fax_number": "251-368-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 N MAIN ST",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365021714",
            "telephone_number": "251-368-5915",
            "fax_number": "251-368-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLEY'S AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-368-5915",
        "authorized_official_credential": "EMT-B"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atmore, AL

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.