Organization Active NPI

Lincoln EMS

  • Land Ambulance
  • Lincoln, AL
National Provider Identifier
1780752402
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
614 Issued in AL
Legal business name
LINCOLN EMS
Practice address
82 McLain Ave
Lincoln, AL 35096-0172
Phone
(205) 763-7777
NPI assigned
Dec 1, 2006
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

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

Authorized official

Name
Joey Callahn
Title
Director
Phone
(205) 763-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 614 AL Primary

Addresses

Primary practice location

82 McLain Ave
Lincoln, AL 35096-0172

Mailing address

PO Box 172
Lincoln, AL 35096-0172
Phone (205) 763-7777

Other identifiers 2

IdentifierTypeStateIssuer
510-3298OtherALBLUE CROSS
000032298MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110801000461 AL Part B Supplier - Ambulance Service Supplier 4486823887 Practice locations: Lincoln, AL

National Provider Directory

National Provider Directory

Locations

118 Magnolia St
Lincoln, AL 35096
Phone (256) 236-6005

33 Complex Dr
Lincoln, AL 35096
Phone (205) 763-7777

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1780752402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350960172",
            "telephone_number": "205-763-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MCLAIN AVE",
            "city": "LINCOLN",
            "state": "AL",
            "postal_code": "350960172",
            "telephone_number": "205-763-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "CALLAHN",
        "authorized_official_first_name": "JOEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-763-7777"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "510-3298",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000032298",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; 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.