Organization Active NPI

Luverne Rescue Squad

  • Land Ambulance
  • Luverne, AL
National Provider Identifier
1487646170
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0297 Issued in AL
Legal business name
LUVERNE RESCUE SQUAD
Practice address
142 W 6TH St
Luverne, AL 36049-1610
Phone
(334) 335-4100
Fax
(334) 335-4115
NPI assigned
Aug 18, 2005
Last updated
Aug 30, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Lynda S Turner
Title
Captain
Phone
(334) 335-6468

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0297 AL Primary

Addresses

Primary practice location

142 W 6TH St
Luverne, AL 36049-1610

Mailing address

PO Box 164
Luverne, AL 36049-0164
Phone (334) 335-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111212000436 AL Part B Supplier - Ambulance Service Supplier 0648445114 Practice locations: Luverne, AL

National Provider Directory

National Provider Directory

Locations

142 W 6th St
Luverne, AL 36049
Phone (334) 335-4100

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1487646170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 164",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360490164",
            "telephone_number": "334-335-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W 6TH ST",
            "city": "LUVERNE",
            "state": "AL",
            "postal_code": "360491610",
            "telephone_number": "334-335-4100",
            "fax_number": "334-335-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUVERNE RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-18",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "LYNDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "334-335-6468"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "0297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Luverne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.