Organization Active NPI

City of Hapeville

Doing business as City of Hapeville Fire Department

  • Land Ambulance
  • Hapeville, GA
National Provider Identifier
1790885010
Registry record updated Apr 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
060-22 Issued in GA
Legal business name
CITY OF HAPEVILLE
Doing business as
City of Hapeville Fire Department
Practice address
3468 N Fulton Ave
Hapeville, GA 30354-1466
Phone
(404) 669-2141
NPI assigned
Sep 25, 2006
Last updated
Apr 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2013

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

Authorized official

Name
Tom Morris
Title
Chief
Phone
(404) 669-2141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 060-22 GA Primary

Addresses

Primary practice location

3468 N Fulton Ave
Hapeville, GA 30354-1466

Mailing address

PO Box 82311
Hapeville, GA 30354-0311
Phone (404) 669-2141

Other identifiers 1

IdentifierTypeStateIssuer
000428755AMedicaidGA

Other names 1

  • City of Hapeville Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051209000156 GA Part B Supplier - Ambulance Service Supplier 3476574187 Practice locations: Hapeville, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2250829Hapeville Fire Department3468 North Fulton Avenue, Hapeville, GA 30354Certificate of waiverJan 29, 2028

National Provider Directory

National Provider Directory

Locations

3468 N Fulton Ave
Hapeville, GA 30354
Phone (404) 669-2141

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1790885010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82311",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303540311",
            "telephone_number": "404-669-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3468 N FULTON AVE",
            "city": "HAPEVILLE",
            "state": "GA",
            "postal_code": "303541466",
            "telephone_number": "404-669-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HAPEVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "404-669-2141"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "GA",
            "license": "060-22",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000428755A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Hapeville Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hapeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.