Organization Active NPI

Forestdale Fire District

  • Land Ambulance
  • Birmingham, AL
National Provider Identifier
1366774390
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
228 Issued in AL
Legal business name
FORESTDALE FIRE DISTRICT
Practice address
1485 Forestdale Blvd
Birmingham, AL 35214-3015
Phone
(205) 798-2809
Fax
(205) 798-7029
NPI assigned
Feb 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Scott Mims
Title
Fire Chief
Phone
(052) 337-6232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 228 AL
Land Ambulance 3416L0300X 228 AL Primary

Addresses

Primary practice location

1485 Forestdale Blvd
Birmingham, AL 35214-3015

Mailing address

1485 Forestdale Blvd
Birmingham, AL 35214-3015
Phone (205) 798-2809

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100518000202 AL Part B Supplier - Ambulance Service Supplier 4183752868 Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

1485 Forestdale Blvd
Birmingham, AL 35214
Phone (205) 798-2809

751 Heflin Ave E
Birmingham, AL 35214
Phone (205) 798-2809

NPI Registry JSON

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

{
    "created_epoch": "1264982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1366774390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 FORESTDALE BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352143015",
            "telephone_number": "205-798-2809",
            "fax_number": "205-798-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 FORESTDALE BLVD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352143015",
            "telephone_number": "205-798-2809",
            "fax_number": "205-798-7029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORESTDALE FIRE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-01",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "052-337-6232"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "228",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "228",
            "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 Jul 31, 2024; 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.