Organization Active NPI

City of Lanett

Doing business as City of Lanett Ambulance

  • Ambulance
  • Lanett, AL
National Provider Identifier
1497853923
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
171 Issued in AL
Legal business name
CITY OF LANETT
Doing business as
City of Lanett Ambulance
Practice address
401 N Lanier Ave
Lanett, AL 36863-2019
Phone
(334) 644-5225
NPI assigned
Sep 20, 2006
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Mr. Johnny Allen
Title
Fire Chief
Phone
(334) 644-5225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 171 AL Primary

Addresses

Primary practice location

401 N Lanier Ave
Lanett, AL 36863-2019

Mailing address

PO Box 290
Lanett, AL 36863-0290
Phone (334) 644-5225

Other identifiers 3

IdentifierTypeStateIssuer
051053874OtherALBLUE CROSS BLUE SHIELD AL
590000497OtherALRAILROAD MEDICARE
000053874MedicaidAL

Other names 1

  • City of Lanett Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000578 AL Part B Supplier - Ambulance Service Supplier 5395835961 Practice locations: Lanett, AL

National Provider Directory

National Provider Directory

Locations

401 N Lanier Ave
Lanett, AL 36863
Phone (205) 644-5245

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1497853923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "368630290",
            "telephone_number": "334-644-5225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N LANIER AVE",
            "city": "LANETT",
            "state": "AL",
            "postal_code": "368632019",
            "telephone_number": "334-644-5225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF LANETT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "334-644-5225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "051053874",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590000497",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000053874",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Lanett Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lanett, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.