NPIMap

Organization Active NPI

Marine Corps Logistics Base Albany, Ga

  • Ambulance
  • Albany, GA
National Provider Identifier
1598064289
Registry record updated Jun 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
993 Issued in GA
Legal business name
MARINE CORPS LOGISTICS BASE ALBANY, GA
Practice address
814 Radford Blvd
Suite 20346
Albany, GA 31704-1130
Phone
(229) 639-5610
NPI assigned
Mar 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2014

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

Authorized official

Name
Forest M Thomas
Title
Asst. Fire Chief of Operations
Phone
(229) 639-5610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 993 GA Primary

Addresses

Primary practice location

814 Radford Blvd
Suite 20346
Albany, GA 31704-1130

Mailing address

814 Radford Blvd
Suite 20346
Albany, GA 31704-1130
Phone (229) 639-5610

Other names 1

  • MCLB Albany Doing business as

National Provider Directory

National Provider Directory
Tax ID family
McDonald Army Health Care Center200 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

814 Radford Blvd
Ste 20346
Albany, GA 31704
Phone (229) 639-5610

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401667200000",
    "number": "1598064289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 RADFORD BLVD",
            "address_2": "SUITE 20346",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317041130",
            "telephone_number": "229-639-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 RADFORD BLVD",
            "address_2": "SUITE 20346",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317041130",
            "telephone_number": "229-639-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARINE CORPS LOGISTICS BASE ALBANY, GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-21",
        "last_updated": "2014-06-02",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "FOREST",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ASST. FIRE CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "229-639-5610"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLB Albany",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.