NPIMap

Organization Active NPI

Kellyton Volunteer Fire and Rescue Company

  • Land Ambulance
  • Kellyton, AL
National Provider Identifier
1336173343
Registry record updated Dec 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
919 Issued in AL
Legal business name
KELLYTON VOLUNTEER FIRE AND RESCUE COMPANY
Practice address
140 County Road 50
Kellyton, AL 35089-9408
Phone
(256) 234-5494
Fax
(256) 234-7613
NPI assigned
Jul 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2022

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

Authorized official

Name
Gerald Sewell
Title
Chief
Phone
(256) 234-5494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 919 AL Primary

Addresses

Primary practice location

140 County Road 50
Kellyton, AL 35089-9408

Mailing address

PO Box 208
Kellyton, AL 35089-0208
Phone (256) 234-5494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061117000105 AL Part B Supplier - Ambulance Service Supplier 6507864022 Practice locations: Kellyton, AL

National Provider Directory

National Provider Directory

Locations

378 Firehouse Rd
Kellyton, AL 35089
Phone (256) 234-4784

377 Firehouse Rd
Kellyton, AL 35089
Phone (256) 234-4784

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670976000000",
    "number": "1336173343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "KELLYTON",
            "state": "AL",
            "postal_code": "350890208",
            "telephone_number": "256-234-5494",
            "fax_number": "256-234-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 COUNTY ROAD 50",
            "city": "KELLYTON",
            "state": "AL",
            "postal_code": "350899408",
            "telephone_number": "256-234-5494",
            "fax_number": "256-234-7613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLYTON VOLUNTEER FIRE AND RESCUE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "256-234-5494"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kellyton, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.