Organization Active NPI

City of Gulf Shores Inc

  • Land Ambulance
  • Gulf Shores, AL
National Provider Identifier
1689320038
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF GULF SHORES INC
Doing business as
GULF SHORES DEPARTMENT OF FIRE & EMERGENCY SERVICES
GULF SHORES FIRE RESCUE
Practice address
1905 West 1St Street
Gulf Shores, AL 36542
Phone
(251) 968-1481
Fax
(251) 597-2087
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Authorized official

Name
Mr. Nicholas Russell
Title
EMS Director
Phone
(251) 968-1481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

1905 West 1St Street
Gulf Shores, AL 36542

Mailing address

PO Box 5847
Gainesville, GA 30504-0847
Phone (877) 288-8561

Other names 2

  • GULF SHORES DEPARTMENT OF FIRE & EMERGENCY SERVICES Doing business as
  • GULF SHORES FIRE RESCUE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220714001551 AL Part B Supplier - Ambulance Service Supplier 3779964242 Practice locations: Gulf Shores, AL

National Provider Directory

National Provider Directory

Locations

1921 W 1st St
Gulf Shores, AL 36542
Phone (251) 597-2087

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652227200000",
    "number": "1689320038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5847",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305040847",
            "telephone_number": "877-288-8561",
            "fax_number": "770-297-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 WEST 1ST STREET",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "36542",
            "telephone_number": "251-968-1481",
            "fax_number": "251-597-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF GULF SHORES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "251-968-1481",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GULF SHORES DEPARTMENT OF FIRE & EMERGENCY SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GULF SHORES FIRE RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.