NPIMap

Organization Active NPI

Florala Rescue Squad, Inc.

  • Land Ambulance
  • Florala, AL
National Provider Identifier
1720130636
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
227 Issued in AL
Legal business name
FLORALA RESCUE SQUAD, INC.
Practice address
612 E 4TH Avenue
Florala, AL 36442-0000
Phone
(334) 858-2503
NPI assigned
Jan 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Authorized official

Name
James York
Title
Owner
Phone
(334) 858-2503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 227 AL Primary

Addresses

Primary practice location

612 E 4TH Avenue
Florala, AL 36442-0000

Mailing address

PO Box 133
Florala, AL 36442-0133
Phone (334) 858-2503

Other identifiers 3

IdentifierTypeStateIssuer
000056297MedicaidAL
051056297OtherALBLUE CROSS BLUE SHIELD AL
907928900MedicaidFL

National Provider Directory

National Provider Directory

Locations

22913 Central Ave
Florala, AL 36442
Phone (334) 858-2503

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1720130636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364420133",
            "telephone_number": "334-858-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E 4TH AVENUE",
            "city": "FLORALA",
            "state": "AL",
            "postal_code": "364420000",
            "telephone_number": "334-858-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORALA RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "YORK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-858-2503"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000056297",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "051056297",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907928900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florala, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.