Fountain Ambulance Service Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

FOUNTAIN AMBULANCE SERVICE INC

Practice address

5237 Halls Mill Rd
Building D
Mobile, AL 36619-9603

Phone

(251) 478-7200

Fax

(251) 478-3888

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Mark Bruning

Title

President

Phone

(303) 495-1220

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• American Medical Response Doing business as

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329696000000",
    "number": "1306896576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 198408",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303848408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 HALLS MILL RD",
            "address_2": "BUILDING D",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366199603",
            "telephone_number": "251-478-7200",
            "fax_number": "251-478-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2012-02-20",
        "status": "A",
        "authorized_official_last_name": "BRUNING",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-495-1220"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SECTION 1011",
            "identifier": "AL0000D100169",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20049104",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011529",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF A",
            "identifier": "50165FOU",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natel Foster, LPN
• Richard Mark Foster, PT, DPT
• Thomas E. Foster, MD
• Foundation Health
• Foundational Physical Therapy & Message
• Ashlee Nicole Fountain-Jones
• Kelly Rawls Fountain, M.S., L.P.T.
• Leigh Fountain, DO
• Summer Dawn Fountain
• Anna Foust, M.D.

• All providers in Mobile, AL
• Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2012; 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.