NPIMap

Organization Active NPI

City of Boaz

  • Land Ambulance
  • Boaz, AL
National Provider Identifier
1346568003
Registry record updated Oct 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
090914 Issued in AL
Legal business name
CITY OF BOAZ
Practice address
201 Brown St
Boaz, AL 35957-1907
Phone
(256) 593-8488
Fax
(256) 840-5353
NPI assigned
May 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2010

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

Authorized official

Name
Mike Sparks
Title
Chief
Phone
(256) 593-8488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 090914 AL Primary

Addresses

Primary practice location

201 Brown St
Boaz, AL 35957-1907

Mailing address

201 Brown St
Boaz, AL 35957-1907
Phone (256) 593-8488

Other names 1

  • Boaz Fire & Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101124000630 AL Part B Supplier - Ambulance Service Supplier 9739375122 Practice locations: Boaz, AL

National Provider Directory

National Provider Directory

Locations

201 Brown St
Boaz, AL 35957
Phone (256) 593-8488

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286928000000",
    "number": "1346568003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BROWN ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571907",
            "telephone_number": "256-593-8488",
            "fax_number": "256-840-5353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BROWN ST",
            "city": "BOAZ",
            "state": "AL",
            "postal_code": "359571907",
            "telephone_number": "256-593-8488",
            "fax_number": "256-840-5353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BOAZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-10-13",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "256-593-8488"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "090914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Boaz Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boaz, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2010; 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.