NPIMap

Organization Active NPI

New Site Volunteer Fire Ambulance Service

  • Land Ambulance
  • New Site, AL
National Provider Identifier
1669564274
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
322 Issued in AL
Legal business name
NEW SITE VOLUNTEER FIRE AMBULANCE SERVICE
Practice address
12791 Highway 22 E
New Site, AL 36256-3258
Phone
(256) 825-1078
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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

Authorized official

Name
Joe Paul Boone
Title
Director
Phone
(256) 825-1078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 322 AL Primary

Addresses

Primary practice location

12791 Highway 22 E
New Site, AL 36256-3258

Mailing address

12791 Highway 22 E
New Site, AL 36256-3258
Phone (256) 825-1078

Other identifiers 2

IdentifierTypeStateIssuer
000053414MedicaidAL
510-53414OtherALBLUE CROSS

National Provider Directory

National Provider Directory

Locations

12791 Highway 22 E
New Site, AL 36256
Phone (256) 234-2049

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1669564274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12791 HIGHWAY 22 E",
            "city": "NEW SITE",
            "state": "AL",
            "postal_code": "362563258",
            "telephone_number": "256-825-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12791 HIGHWAY 22 E",
            "city": "NEW SITE",
            "state": "AL",
            "postal_code": "362563258",
            "telephone_number": "256-825-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SITE VOLUNTEER FIRE AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "BOONE",
        "authorized_official_first_name": "JOE PAUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "256-825-1078"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000053414",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "510-53414",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Site, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.