Enterprise Rescue Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

219 Issued in AL

Legal business name

ENTERPRISE RESCUE INC.

Practice address

519 E Lee St
Enterprise, AL 36330-2284

Phone

(334) 347-0333

Fax

(334) 347-7666

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Avon Bosarge, EMT-II

Title

Treasure

Phone

(334) 347-0333

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1508876467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 311190",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363311190",
            "telephone_number": "334-347-0333",
            "fax_number": "334-347-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E LEE ST",
            "city": "ENTERPRISE",
            "state": "AL",
            "postal_code": "363302284",
            "telephone_number": "334-347-0333",
            "fax_number": "334-347-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERPRISE RESCUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "BOSARGE",
        "authorized_official_first_name": "AVON",
        "authorized_official_title_or_position": "TREASURE",
        "authorized_official_telephone_number": "334-347-0333",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-II"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/AL",
            "identifier": "51050326",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Enterprise Clinic LLC
• Enterprise Family Dental, PC
• Enterprise Mental Health, LLC
• Enterprise Open MRI, LLC
• Enterprise Optical LLC
• Enterprise Speech and Learning Center, LLC
• Enterprise Therapy Center LLC
• Enterprise Urgent Care
• Enterprise Women'S Center, LLC.
• Nola Jean Ernest, M.D., PH.D.

• Land Ambulance in Enterprise, AL
• Providers in Enterprise, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.