Organization Active NPI

Town of Louisville

Doing business as Louisville Ambulance Service

  • Land Ambulance
  • Louisville, AL
National Provider Identifier
1487730412
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
TOWN OF LOUISVILLE
Doing business as
Louisville Ambulance Service
Louisville Fire and Rescue
Practice address
1951 Main St
Louisville, AL 36048-3002
Phone
(334) 266-5210
Fax
(334) 266-5630
NPI assigned
Oct 31, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Heath Clark
Title
EMS Captain
Phone
(334) 266-5210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1951 Main St
Louisville, AL 36048-3002

Mailing address

PO Box 125
Louisville, AL 36048-0125
Phone (334) 405-9861

Other identifiers 1

IdentifierTypeStateIssuer
200003104MedicaidAL

Other names 2

  • Louisville Ambulance Service Doing business as
  • Louisville Fire and Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070917000226 AL Part B Supplier - Ambulance Service Supplier 3274627690 Practice locations: Louisville, AL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1487730412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 125",
            "city": "LOUISVILLE",
            "state": "AL",
            "postal_code": "360480125",
            "telephone_number": "334-405-9861",
            "fax_number": "334-405-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 MAIN ST",
            "city": "LOUISVILLE",
            "state": "AL",
            "postal_code": "360483002",
            "telephone_number": "334-266-5210",
            "fax_number": "334-266-5630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LOUISVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "HEATH",
        "authorized_official_title_or_position": "EMS CAPTAIN",
        "authorized_official_telephone_number": "334-266-5210"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200003104",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Louisville Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Louisville Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.