Active NPI
City of Headland
Doing business as Headland Fire and Rescue
- Land Ambulance
- Headland, AL
National Provider Identifier
1437221041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 772
- Legal business name
- CITY OF HEADLAND
- Doing business as
- Headland Fire and Rescue
- Practice address
- 456 E Main St
Headland, AL 36345-1850 - Phone
- (334) 693-9325
- NPI assigned
- Nov 15, 2006
- Last updated
- Aug 6, 2025
- 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
- Matthew Hatcher
- Title
- EMS LT
- Phone
- (334) 693-9325
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 772 | AL | Primary |
Addresses
Primary practice location
456 E Main St
Headland, AL 36345-1850
Mailing address
25 Grove St
Headland, AL 36345-1749
Phone (334) 693-9325
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 629503000 | Other | DOL | |
| 510-96169 | Other | AL | BLUECROSS |
| 000096169 | Medicaid | AL |
Other names 1
- Headland Fire and Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080924000462 | AL | Part B Supplier - Ambulance Service Supplier | 6800963331 | Practice locations: Headland, AL |
National Provider Directory
National Provider DirectoryLocations
25 Grove St
Headland, AL 36345
456 E Main St
Headland, AL 36345
Phone (334) 693-9325
9 Park St
Headland, AL 36345
720 3rd Ave
West Point, GA 31833
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754438400000",
"number": "1437221041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 GROVE ST",
"city": "HEADLAND",
"state": "AL",
"postal_code": "363451749",
"telephone_number": "334-693-9325",
"fax_number": "334-693-4785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "456 E MAIN ST",
"city": "HEADLAND",
"state": "AL",
"postal_code": "363451850",
"telephone_number": "334-693-9325"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF HEADLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-15",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A",
"authorized_official_last_name": "HATCHER",
"authorized_official_first_name": "MATTHEW",
"authorized_official_title_or_position": "EMS LT",
"authorized_official_telephone_number": "334-693-9325"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AL",
"license": "772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "629503000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS",
"identifier": "510-96169",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000096169",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Headland Fire and Rescue",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Headland, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.