City of Childersburg

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0159 Issued in AL

Legal business name

CITY OF CHILDERSBURG

Doing business as

Childersburg Ambulance Service

Practice address

122 6TH Ave SW
Childersburg, AL 35044-1646

Phone

(256) 378-7062

Fax

(256) 598-0006

NPI assigned

Nov 7, 2006

Last updated

Sep 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Shane Phillips

Title

Fire Chief

Phone

(256) 378-7062

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Childersburg Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1336218114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 6TH AVE SW",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441646",
            "telephone_number": "256-378-7062",
            "fax_number": "256-598-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 6TH AVE SW",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441646",
            "telephone_number": "256-378-7062",
            "fax_number": "256-598-0006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHILDERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "256-378-7062"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "0159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "051054920",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200061106",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Childersburg Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Norman Donald Chambers, M.D.
• Childersburg Diagnostic Imaging, LLC
• Childersburg Diagnostic Imaging, LLC
• Childersburg Family Dental
• Childersburg GR Dental, LLC (280 Dental Care)
• Wendy White Cleveland, RPH
• Nikese D Coleman, MS, OTR/L
• Coosa Eye Associates, P.C.
• Duncan Crowder, PT
• Margaret B Crowder, PT

• Ambulance in Childersburg, AL
• Providers in Childersburg, AL by specialty
• Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; 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.