Town of Eclectic
Organization Active NPI Ambulance · Eclectic, AL
NPI 1295833093 · NPPES record last updated Oct 16, 2023
Key facts
- NPI
- 1295833093
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- Legal business name
- TOWN OF ECLECTIC
- Practice address
- 140 1St Ave
Eclectic, AL 36024 - Phone
- (334) 541-3581
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Shannon Duck
- Title
- Town Clerk
- Phone
- (334) 541-4429
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050208000130 | AL | Part B Supplier - Ambulance Service Supplier | 0446201438 | Practice locations: Eclectic, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | AL | Yes |
Addresses
Primary practice location
140 1St Ave
Eclectic, AL 36024
Mailing address
PO Box 535
Baldwinsville, NY 13027-0535
Phone (315) 635-1789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000037499 | Medicaid | AL | |
| 51037499 | Other | AL | BCBS OF AL |
Other providers in Eclectic, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.