Haynes Life Flight LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

HAYNES LIFE FLIGHT LLC

Practice address

545 Hospital Dr
Wetumpka, AL 36092-1626

Phone

(334) 241-5224

Fax

(334) 567-6850

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Kirk Edwin Barrett, NREMT-P

Title

Coo

Phone

(334) 241-5268

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1457776197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1515",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360920028",
            "telephone_number": "334-241-5224",
            "fax_number": "334-567-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 HOSPITAL DR",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360921626",
            "telephone_number": "334-241-5224",
            "fax_number": "334-567-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES LIFE FLIGHT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "334-241-5268",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth K Hart, ALC
• Steven Mark Hayden, M.D.
• Haynes Ambulance of Elmore County, L.L.C.
• Haynes Ambulance of Wetumpka
• Haynes Ambulances of Wetumpka, LLC
• Helping Hearts Hospice
• Hibbett Optical, LLC
• Holtville Family Practice
• Hughston Clinic, PC
• Hughston Medical Group, PC

• Air Ambulance in Wetumpka, AL
• Providers in Wetumpka, AL by specialty
• Air Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.