NPIMap

Organization Active NPI

Haynes Ambulance of Macon County LLC

  • Land Ambulance
  • Tuskegee, AL
National Provider Identifier
1770059800
Registry record updated Oct 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HAYNES AMBULANCE OF MACON COUNTY LLC
Practice address
301 Wright St
Tuskegee, AL 36083-1558
Phone
(334) 241-5224
NPI assigned
Oct 16, 2018
Last updated
Oct 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2018

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

Authorized official

Name
Brandee Barrett
Title
Vice President
Phone
(334) 241-5224

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

301 Wright St
Tuskegee, AL 36083-1558

Mailing address

PO Box 1515
Wetumpka, AL 36092-0028
Phone (334) 241-5224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190110000372 AL Part B Supplier - Ambulance Service Supplier 6507100070 Practice locations: Alexander City, AL; Fort Mitchell, AL; Montgomery, AL; Phenix City, AL; Prattville, AL; Seale, AL; Tuskegee, AL
O20231024000580 GA Part B Supplier - Ambulance Service Supplier 6507100070 Practice locations: Columbus, GA

National Provider Directory

National Provider Directory

Locations

1150 Panama St
Montgomery, AL 36107
Phone (334) 241-5222

262 Interstate Commercial Park Loop
Prattville, AL 36066
Phone (334) 241-5222

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539648000000",
    "number": "1770059800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1515",
            "city": "WETUMPKA",
            "state": "AL",
            "postal_code": "360920028",
            "telephone_number": "334-241-5224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WRIGHT ST",
            "city": "TUSKEGEE",
            "state": "AL",
            "postal_code": "360831558",
            "telephone_number": "334-241-5224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAYNES AMBULANCE OF MACON COUNTY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-16",
        "last_updated": "2018-10-16",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "BRANDEE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "334-241-5224"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuskegee, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; 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.