Organization Active NPI

Rocky Ridge Fire District

  • Ambulance
  • Birmingham, AL
National Provider Identifier
1528071057
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
356 Issued in AL
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

Updated by the provider on Jun 4, 2008

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)CodeLicenseStatePrimary
ParamedicGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
200037106MedicaidAL
590011307OtherALRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120213000234 AL Part B Supplier - Ambulance Service Supplier 2567358195 Practice locations: Birmingham, AL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.