Organization Active NPI

County EMS LLC

  • Land Ambulance
  • Hartselle, AL
National Provider Identifier
1619052099
Registry record updated Dec 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
886 Issued in AL
Legal business name
COUNTY EMS LLC
Practice address
1550 Highway 31 NW
Hartselle, AL 35640-4430
Phone
(256) 773-2662
Fax
(256) 773-2662
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2012

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

Authorized official

Name
Terry Garwood
Title
Owner
Phone
(256) 637-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 886 AL Primary

Addresses

Primary practice location

1550 Highway 31 NW
Hartselle, AL 35640-4430

Mailing address

PO Box 458
Moulton, AL 35650-0458
Phone (256) 773-2662

Other identifiers 2

IdentifierTypeStateIssuer
051553854MedicaidAL
51518058OtherALBC/BS OF ALABAMA

National Provider Directory

National Provider Directory

Locations

1550 Highway 31 NW
Hartselle, AL 35640
Phone (256) 773-2662

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356912000000",
    "number": "1619052099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "MOULTON",
            "state": "AL",
            "postal_code": "356500458",
            "telephone_number": "256-773-2662",
            "fax_number": "256-292-3514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 HIGHWAY 31 NW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356404430",
            "telephone_number": "256-773-2662",
            "fax_number": "256-773-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY EMS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-12-31",
        "status": "A",
        "authorized_official_last_name": "GARWOOD",
        "authorized_official_first_name": "TERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-637-0500"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051553854",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF ALABAMA",
            "identifier": "51518058",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartselle, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; 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.