Active NPI
Forestdale Fire District
- Land Ambulance
- Birmingham, AL
National Provider Identifier
1366774390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 228
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100518000202 | AL | Part B Supplier - Ambulance Service Supplier | 4183752868 | Practice locations: Birmingham, AL |
National Provider Directory
National Provider DirectoryLocations
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.