Organization Active NPI

City of Monroeville

  • Land Ambulance
  • Monroeville, AL
National Provider Identifier
1760169015
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF MONROEVILLE
Practice address
160 E Claiborne St
Monroeville, AL 36460-1804
Phone
(251) 575-2084
NPI assigned
Jun 29, 2023
Organization subpart
Yes
Parent organization
CITY OF MONROEVILLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Authorized official

Name
Billy Black
Title
Fire Chief
Phone
(251) 575-2084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

160 E Claiborne St
Monroeville, AL 36460-1804

Mailing address

PO Box 147
Monroeville, AL 36461-0147
Phone (251) 575-2084

Other names 1

  • City of Monroeville 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
O20250611000483 AL Part B Supplier - Ambulance Service Supplier 3870003593 Practice locations: Monroeville, AL

National Provider Directory

National Provider Directory
Part of
City of Monroeville

Locations

160 E Claiborne St
Monroeville, AL 36460
Phone (251) 575-2084

NPI Registry JSON

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687996800000",
    "number": "1760169015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364610147",
            "telephone_number": "251-575-2084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E CLAIBORNE ST",
            "city": "MONROEVILLE",
            "state": "AL",
            "postal_code": "364601804",
            "telephone_number": "251-575-2084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MONROEVILLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF MONROEVILLE",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "BILLY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "251-575-2084"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Monroeville Fire/Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroeville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; 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.