Active NPI
Town of Louisville
Doing business as Louisville Ambulance Service
- Land Ambulance
- Louisville, AL
National Provider Identifier
1487730412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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, 2025
- 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
- Heath Clark
- Title
- EMS Captain
- Phone
- (334) 266-5210
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200003104 | Medicaid | AL |
Other names 2
- Louisville Ambulance Service
- Louisville Fire and Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070917000226 | AL | Part B Supplier - Ambulance Service Supplier | 3274627690 | Practice locations: Louisville, AL |
National Provider Directory
National Provider DirectoryNPI 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.