Dothan Ambulance Service

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

205 Issued in AL

Legal business name

DOTHAN AMBULANCE SERVICE

Practice address

923 S Foster St
Dothan, AL 36301-3649

Phone

(334) 794-4444

Fax

(334) 712-9335

NPI assigned

Nov 28, 2006

Last updated

Nov 10, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Scott Daughtry

Title

C.E.O.

Phone

(334) 794-4444

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1386710515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 S FOSTER ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013649",
            "telephone_number": "334-794-4444",
            "fax_number": "334-712-9335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 S FOSTER ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363013649",
            "telephone_number": "334-794-4444",
            "fax_number": "334-712-9335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOTHAN AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "DAUGHTRY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "334-794-4444",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200035101",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003851800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "796349292A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "51050007",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590001982",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica A Domm, PHARMD
• Donald W Barham, M.D.
• Mary E Donaldson, SLP
• Latonya L. Dorsey
• Dot MRI Radiology, PLLC
• Dothan Anesthesiology Associates PC
• Dothan Behavioral Medicine Clinic PC (Dothan Behavioral Medicine Clinic Pharmacy)
• Dothan Behavioral Medicine Clinic PC
• Dothan Brace Shop
• Dothan Chiropractic Clinic, P.C.

• Land Ambulance in Dothan, AL
• Providers in Dothan, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.