Active NPI
Rocky Ridge Fire District
- Ambulance
- Birmingham, AL
National Provider Identifier
1528071057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 356
- Legal business name
- ROCKY RIDGE FIRE DISTRICT
- Practice address
- 2911 Metropolitan Way
Birmingham, AL 35243-2943 - Phone
- (205) 822-0532
- Fax
- (205) 978-9876
- NPI assigned
- Aug 14, 2006
- 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
- Mr. Jon Lord, EMT-I
- Title
- Fire Chief
- Phone
- (205) 822-0532
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 356 | AL | |
| Ambulance | 341600000X | 356 | AL | Primary |
| Land Ambulance | 3416L0300X | 356 | AL |
Addresses
Primary practice location
2911 Metropolitan Way
Birmingham, AL 35243-2943
Mailing address
2911 Metropolitan Way
Birmingham, AL 35243-2943
Phone (205) 822-0532
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200037106 | Medicaid | AL | |
| 590011307 | Other | AL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120213000234 | AL | Part B Supplier - Ambulance Service Supplier | 2567358195 | Practice locations: Birmingham, AL |
National Provider Directory
National Provider DirectoryLocations
2911 Metropolitan Way
Birmingham, AL 35243
Phone (205) 822-0532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1528071057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2911 METROPOLITAN WAY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432943",
"telephone_number": "205-822-0532",
"fax_number": "205-978-9876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2911 METROPOLITAN WAY",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432943",
"telephone_number": "205-822-0532",
"fax_number": "205-978-9876"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY RIDGE FIRE DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "LORD",
"authorized_official_first_name": "JON",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "205-822-0532",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "EMT-I"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medical Technician, Paramedic",
"state": "AL",
"license": "356",
"primary": false
},
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "AL",
"license": "356",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "AL",
"license": "356",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200037106",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590011307",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.