Active NPI
North Shelby County Fire and Emergency Medical District
- Land Ambulance
- Birmingham, AL
National Provider Identifier
1336256296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 328
- Legal business name
- NORTH SHELBY COUNTY FIRE AND EMERGENCY MEDICAL DISTRICT
- Practice address
- 4617 Valleydale Rd
Birmingham, AL 35242-4608 - Phone
- (205) 991-6439
- Fax
- (205) 991-7331
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eugene Buddy Tyler
- Title
- Fire Chief/Owner
- Phone
- (205) 991-6439
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 328 | AL | Primary |
Addresses
Primary practice location
4617 Valleydale Rd
Birmingham, AL 35242-4608
Mailing address
PO Box 361706
Birmingham, AL 35236-1706
Phone (205) 823-7076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061104000012 | AL | Part B Supplier - Ambulance Service Supplier | 6608873666 | Practice locations: Birmingham, AL |
National Provider Directory
National Provider DirectoryLocations
4617 Valleydale Rd
Birmingham, AL 35242
Phone (205) 991-6439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357084800000",
"number": "1336256296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 361706",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352361706",
"telephone_number": "205-823-7076",
"fax_number": "205-978-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4617 VALLEYDALE RD",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352424608",
"telephone_number": "205-991-6439",
"fax_number": "205-991-7331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH SHELBY COUNTY FIRE AND EMERGENCY MEDICAL DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2013-01-02",
"status": "A",
"authorized_official_last_name": "TYLER",
"authorized_official_first_name": "EUGENE",
"authorized_official_middle_name": "BUDDY",
"authorized_official_title_or_position": "FIRE CHIEF/OWNER",
"authorized_official_telephone_number": "205-991-6439"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AL",
"license": "328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; 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.