Organization Active NPI

North Shelby County Fire and Emergency Medical District

  • Land Ambulance
  • Birmingham, AL
National Provider Identifier
1336256296
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
328 Issued in AL
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

Updated by the provider on Jan 2, 2013

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
O20061104000012 AL Part B Supplier - Ambulance Service Supplier 6608873666 Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.