NPIMap

Organization Active NPI

Ft Rucker EMS

  • Land Ambulance
  • Ft Rucker, AL
National Provider Identifier
1467614362
Registry record updated Jul 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
9142973 Issued in AL
Legal business name
FT RUCKER EMS
Practice address
BLDG 301 Andrews Ave
Ft Rucker, AL 36362-5333
Phone
(334) 255-7032
NPI assigned
Jul 1, 2008
Organization subpart
Yes
Parent organization
LYSTER ARMY HEALTH CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 1, 2008

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

Authorized official

Name
Mr. David N Hataway, PARAMEDIC
Title
Chief EMS
Phone
(334) 255-7032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 9142973 AL Primary

Addresses

Primary practice location

BLDG 301 Andrews Ave
Ft Rucker, AL 36362-5333

Mailing address

BLDG 301 Andrews Ave
Ft Rucker, AL 36362-5333
Phone (334) 255-7032

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one
Part of
McDonald Army Health Care Center

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214870400000",
    "number": "1467614362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BLDG 301 ANDREWS AVE",
            "city": "FT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLDG 301 ANDREWS AVE",
            "city": "FT RUCKER",
            "state": "AL",
            "postal_code": "363625333",
            "telephone_number": "334-255-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FT RUCKER EMS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LYSTER ARMY HEALTH CLINIC",
        "enumeration_date": "2008-07-01",
        "last_updated": "2008-07-01",
        "status": "A",
        "authorized_official_last_name": "HATAWAY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CHIEF EMS",
        "authorized_official_telephone_number": "334-255-7032",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "9142973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Rucker, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; 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.