Organization Active NPI

Regional Paramedical Services Inc

  • Land Ambulance
  • Jasper, AL
National Provider Identifier
1467546242
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
353 Issued in AL
Legal business name
REGIONAL PARAMEDICAL SERVICES INC
Practice address
3925 Old Birmingham Hwy
Jasper, AL 35501-8949
Phone
(205) 384-4310
Fax
(205) 384-9758
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Mr. John L Wills, PARAMEDIC
Title
President
Phone
(205) 384-4310

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 353 AL Primary
Land Ambulance 3416L0300X 572 AL
Land Ambulance 3416L0300X 352 AL
Land Ambulance 3416L0300X 820 AL
Land Ambulance 3416L0300X 554 AL
Land Ambulance 3416L0300X 887 AL
Land Ambulance 3416L0300X 849 AL

Addresses

Primary practice location

3925 Old Birmingham Hwy
Jasper, AL 35501-8949

Mailing address

PO Box 11407 Drawer 1633
Birmingham, AL 35246-1633
Phone (205) 437-6098

Other identifiers 7

IdentifierTypeStateIssuer
000054978MedicaidAL
200064110MedicaidAL
510-54978OtherALBCBS
113849MedicaidAL
113893MedicaidAL
114378MedicaidAL
114085MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040512001443 AL Part B Supplier - Ambulance Service Supplier 0840280913 Practice locations: Alabaster, AL; Graysville, AL; Haleyville, AL; Jasper, AL; Leeds, AL

National Provider Directory

National Provider Directory

Locations

86 Longview Cir
Alabaster, AL 35007
Phone (205) 295-3009

1738 Eva Rd NE
Cullman, AL 35055
Phone (256) 737-7280

1239 19th St
Haleyville, AL 35565
Phone (205) 921-5681

1019 20th St
Haleyville, AL 35565
Phone (205) 295-3009

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1467546242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407 DRAWER 1633",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352461633",
            "telephone_number": "205-437-6098",
            "fax_number": "205-437-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 OLD BIRMINGHAM HWY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355018949",
            "telephone_number": "205-384-4310",
            "fax_number": "205-384-9758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PARAMEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "WILLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-384-4310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "353",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "572",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "352",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "820",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "554",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "887",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000054978",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200064110",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-54978",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113849",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113893",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114378",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114085",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.