Smiths Station Fire and Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1124 Issued in AL

Legal business name

SMITHS STATION FIRE AND RESCUE

Practice address

50 Lee Road 430
Smiths Station, AL 36877-2600

Phone

(334) 947-0911

Fax

(334) 947-0912

NPI assigned

Jan 9, 2018

Organization subpart

No

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

Authorized official

Name

Blake A Green Jr.

Title

Chief

Phone

(334) 947-0913

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1750898946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEE ROAD 430",
            "city": "SMITHS STATION",
            "state": "AL",
            "postal_code": "368772600",
            "telephone_number": "334-947-0911",
            "fax_number": "334-947-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEE ROAD 430",
            "city": "SMITHS STATION",
            "state": "AL",
            "postal_code": "368772600",
            "telephone_number": "334-947-0911",
            "fax_number": "334-947-0912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9500 Lee Road 240",
            "address_purpose": "LOCATION",
            "city": "Phenix City",
            "state": "AL",
            "postal_code": "36870",
            "country_code": "US",
            "telephone_number": "334-947-0911",
            "fax_number": "334-947-0912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMITHS STATION FIRE AND RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "334-947-0913",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "1124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Positive Path Counseling & Consulting Agency, LLC
• Tamara Rene Quinones, FNP-C
• Angela D Ryan
• Smiths Plaza Drugs Inc
• Smiths Station and Phenix City Psychological
• Smiths Station Pharmacy LLC
• Kenya Spencer, LICSW
• Stonecreek Acquisitions, LLC
• Nursie Mae Thomas, ATTENDANT CARE
• Trenton Watson, NP

• All providers in Smiths Station, AL
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.