NPIMap

Organization Active NPI

Skipperville Volunteer Rescue Squad

  • Voluntary or Charitable Agency
  • Skipperville, AL
National Provider Identifier
1407914856
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
367 Issued in AL
Legal business name
SKIPPERVILLE VOLUNTEER RESCUE SQUAD
Practice address
Post Office Box 149
Skipperville, AL 36374-0149
Phone
(866) 297-5189
NPI assigned
Dec 5, 2006
Last updated
May 21, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Authorized official

Name
Kelley Wood
Title
Billing
Phone
(334) 693-2105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X 367 AL Primary

Addresses

Primary practice location

Post Office Box 149
Skipperville, AL 36374-0149

Mailing address

Post Office Box 149
Skipperville, AL 36374-0149
Phone (866) 297-5189

Other identifiers 2

IdentifierTypeStateIssuer
51050017OtherALBLUE CROSS AND BLUE SHIELD OF ALABAMA
000050017MedicaidAL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1407914856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 149",
            "city": "SKIPPERVILLE",
            "state": "AL",
            "postal_code": "363740149",
            "telephone_number": "866-297-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 149",
            "city": "SKIPPERVILLE",
            "state": "AL",
            "postal_code": "363740149",
            "telephone_number": "866-297-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKIPPERVILLE VOLUNTEER RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "334-693-2105"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "AL",
            "license": "367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ALABAMA",
            "identifier": "51050017",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000050017",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Skipperville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.