Active NPI
Luverne Rescue Squad
- Land Ambulance
- Luverne, AL
National Provider Identifier
1487646170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 0297
- 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, 2007
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111212000436 | AL | Part B Supplier - Ambulance Service Supplier | 0648445114 | Practice locations: Luverne, AL |
National Provider Directory
National Provider DirectoryLocations
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.