NPIMap

Organization Active NPI

Alexander City Amb Ser

  • Land Ambulance
  • Alexander City, AL
National Provider Identifier
1790761781
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
109 Issued in AL
Legal business name
ALEXANDER CITY AMB SER
Practice address
38 Court SQ
Alexander City, AL 35010-1929
Phone
(256) 329-6761
Fax
(256) 329-6786
NPI assigned
Dec 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Miss L Kem Jones, CAPTAIN
Title
EMS Director
Phone
(256) 329-6761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 109 AL Primary

Addresses

Primary practice location

38 Court SQ
Alexander City, AL 35010-1929

Mailing address

PO Box 552
Alexander City, AL 35011-0552
Phone (256) 329-6761

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120424000477 AL Part B Supplier - Ambulance Service Supplier 5193987931 Practice locations: Alexander City, AL

National Provider Directory

National Provider Directory

Locations

38 Court Sq
Alexander City, AL 35010
Phone (256) 329-6756

NPI Registry JSON

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1790761781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 552",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350110552",
            "telephone_number": "256-329-6761",
            "fax_number": "256-329-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 COURT SQ",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350101929",
            "telephone_number": "256-329-6761",
            "fax_number": "256-329-6786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER CITY AMB SER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-21",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "L",
        "authorized_official_middle_name": "KEM",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "256-329-6761",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "CAPTAIN"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.