Town of Columbia
Organization Active NPI Land Ambulance · Columbia, AL
NPI 1295896264 · NPPES record last updated Oct 21, 2024
Key facts
- NPI
- 1295896264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 184 (AL)
- Legal business name
- TOWN OF COLUMBIA
- Practice address
- 202 S Main St
Columbia, AL 36319-3669 - Phone
- (334) 696-4412
- Fax
- (334) 696-8083
- NPI assigned
- Dec 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Ernest Clayton Hamm
- Title
- EMS Captain
- Phone
- (334) 696-4417
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041117000211 | AL | Part B Supplier - Ambulance Service Supplier | 0840254082 | Practice locations: Columbia, AL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 184 | AL | Yes |
Addresses
Primary practice location
202 S Main St
Columbia, AL 36319-3669
Mailing address
PO Box 339
Columbia, AL 36319-0339
Phone (334) 696-4417
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000053075 | Medicaid | AL | |
| 051053075 | Other | AL | BCBS OF ALABAMA |
| 590012762 | Other | AL | RAILROAD MEDICARE |
Other names
- Columbia Ambulance Rescue Emergency Squad
Other providers in Columbia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. 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.