NPIMap

Organization Active NPI

Medcare Emergency Medical Services, Inc.

  • Ambulance
  • Camden, AL
National Provider Identifier
1508925694
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
763 Issued in AL
Legal business name
MEDCARE EMERGENCY MEDICAL SERVICES, INC.
Practice address
317B McWilliams Ave
Camden, AL 36726
Phone
(334) 682-3911
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. James Ralph Jackson Jr.
Title
Director
Phone
(334) 682-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 763 AL Primary

Addresses

Primary practice location

317B McWilliams Ave
Camden, AL 36726

Mailing address

PO Box 758
Camden, AL 36726-0758
Phone (334) 682-3911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070418000014 AL Part B Supplier - Ambulance Service Supplier 9436254661 Practice locations: Camden, AL

National Provider Directory

National Provider Directory

Locations

317 McWilliams Ave
#B
Camden, AL 36726
Phone (334) 682-3911

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508925694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 758",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "367260758",
            "telephone_number": "334-682-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317B MCWILLIAMS AVE",
            "city": "CAMDEN",
            "state": "AL",
            "postal_code": "36726",
            "telephone_number": "334-682-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCARE EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "RALPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "334-682-3911",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.