NPIMap

Organization Active NPI

Haleburg Rescue Squad Inc

  • Land Ambulance
  • Columbia, AL
National Provider Identifier
1740361609
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
836 Issued in AL
Legal business name
HALEBURG RESCUE SQUAD INC
Practice address
10361 George H Grimsley Hwy
Columbia, AL 36319-5831
Phone
(334) 794-5400
NPI assigned
Oct 18, 2006
Last updated
Apr 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Authorized official

Name
Ed Anderson
Title
Director
Phone
(334) 794-5400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 836 AL Primary

Addresses

Primary practice location

10361 George H Grimsley Hwy
Columbia, AL 36319-5831

Mailing address

PO Box 115
Headland, AL 36345-0115
Phone (334) 585-5555

Other identifiers 2

IdentifierTypeStateIssuer
051551088MedicaidAL
051507349OtherALBLUE CROSS BLUE SHIELD AL

National Provider Directory

National Provider Directory

Locations

10361 George H Grimsley Hwy
Columbia, AL 36319
Phone (334) 696-5567

1378 Main St
Columbia, AL 36319
Phone (334) 791-5565

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271116800000",
    "number": "1740361609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "HEADLAND",
            "state": "AL",
            "postal_code": "363450115",
            "telephone_number": "334-585-5555",
            "fax_number": "334-585-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10361 GEORGE H GRIMSLEY HWY",
            "city": "COLUMBIA",
            "state": "AL",
            "postal_code": "363195831",
            "telephone_number": "334-794-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALEBURG RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-04-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "334-794-5400"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051551088",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "051507349",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.