Organization Active NPI

Haynes Ambulance of Wetumpka

  • Land Ambulance
  • Wetumpka, AL
National Provider Identifier
1306959028
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0265 Issued in AL
Legal business name
HAYNES AMBULANCE OF WETUMPKA
Practice address
219 Company St
Wetumpka, AL 36092-2758
Phone
(334) 567-7039
NPI assigned
Aug 16, 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
Mrs. Brandee Haynes Barrett, EMT-P
Title
Manager
Phone
(334) 241-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0265 AL Primary

Addresses

Primary practice location

219 Company St
Wetumpka, AL 36092-2758

Mailing address

P.O. Box 116
Wetumpka, AL 36092
Phone (334) 567-7039

Other identifiers 1

IdentifierTypeStateIssuer
510-51928OtherALBLUE CROSS BLUE SHEILD AL

National Provider Directory

National Provider Directory

Locations

219 Company St
Wetumpka, AL 36092
Phone (334) 567-7039

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306959028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 116",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "36092",
            "telephone_number": "334-567-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 COMPANY ST",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360922758",
            "telephone_number": "334-567-7039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES AMBULANCE OF WETUMPKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_middle_name": "HAYNES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "334-241-5224",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "0265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD AL",
            "identifier": "510-51928",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wetumpka, 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.