Organization Active NPI

City of Pelham

  • Land Ambulance
  • Pelham, AL
National Provider Identifier
1801633243
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF PELHAM
Practice address
3162 Pelham Pkwy
Pelham, AL 35124-2029
Phone
(205) 620-6500
Fax
(205) 620-6501
NPI assigned
Jul 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Matthew T Maples
Title
EMS Director
Phone
(205) 620-6509

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3162 Pelham Pkwy
Pelham, AL 35124-2029

Mailing address

3162 Pelham Pkwy
Pelham, AL 35124-2029
Phone (205) 620-6509

Other names 1

  • Pelham Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250221003154 AL Part B Supplier - Ambulance Service Supplier 1456871359 Practice locations: Pelham, AL

National Provider Directory

National Provider Directory

Locations

3162 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-6500

2298 Pelham Pkwy
Pelham, AL 35124
Phone (205) 620-6509

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1801633243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242029",
            "telephone_number": "205-620-6509",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 PELHAM PKWY",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "351242029",
            "telephone_number": "205-620-6500",
            "fax_number": "205-620-6501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PELHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "MAPLES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "205-620-6509"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelham Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.