Town of Slocomb

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

874 Issued in AL

Legal business name

TOWN OF SLOCOMB

Practice address

324 S State Highway 103
Slocomb, AL 36375-6533

Phone

(334) 886-7419

Fax

(334) 886-9896

NPI assigned

Oct 5, 2006

Last updated

Aug 1, 2024By 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

Candy Anderson

Title

Office Assistant

Phone

(334) 589-3038

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722470400000",
    "number": "1386730620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363750608",
            "telephone_number": "334-886-7419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 S STATE HIGHWAY 103",
            "city": "SLOCOMB",
            "state": "AL",
            "postal_code": "363756533",
            "telephone_number": "334-886-7419",
            "fax_number": "334-886-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF SLOCOMB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CANDY",
        "authorized_official_title_or_position": "OFFICE ASSISTANT",
        "authorized_official_telephone_number": "334-589-3038"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000079450",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51079450",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Marie Register, NP
• Mallory Nichole Smith
• Southeast Alabama Rural Health Associates (Slocomb Family Health Center)
• Cheryl Thomas, RN
• Susan M Thompson, NP
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2165)
• Madison Wambles
• Natashajean Whaley, CD, DONA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.