Organization Active NPI

Atmore Ambulance, Inc.

  • Land Ambulance
  • Atmore, AL
National Provider Identifier
1447295803
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
125 Issued in AL
Legal business name
ATMORE AMBULANCE, INC.
Practice address
121 S Main St
Atmore, AL 36502-2445
Phone
(251) 368-3003
Fax
(251) 368-2517
NPI assigned
Jun 19, 2006
Last updated
Aug 10, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Authorized official

Name
Mrs. Patricia A Still, PARAMEDIC
Title
Owner
Phone
(251) 368-3003

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 125 AL Primary
Land Ambulance 3416L0300X 002540 FL

Addresses

Primary practice location

121 S Main St
Atmore, AL 36502-2445

Mailing address

121 S Main St
Atmore, AL 36502-2445
Phone (251) 368-3003

Other identifiers 1

IdentifierTypeStateIssuer
52754OtherALBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

121 S Main St
Atmore, AL 36502
Phone (251) 368-3003

212 N Main St
Atmore, AL 36502
Phone (251) 368-3003

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186704000000",
    "number": "1447295803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022445",
            "telephone_number": "251-368-3003",
            "fax_number": "251-368-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S MAIN ST",
            "city": "ATMORE",
            "state": "AL",
            "postal_code": "365022445",
            "telephone_number": "251-368-3003",
            "fax_number": "251-368-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATMORE AMBULANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-08-10",
        "status": "A",
        "authorized_official_last_name": "STILL",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-368-3003",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "125",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "FL",
            "license": "002540",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "52754",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atmore, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.