Active NPI
City of Pelham
- Land Ambulance
- Pelham, AL
National Provider Identifier
1801633243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250221003154 | AL | Part B Supplier - Ambulance Service Supplier | 1456871359 | Practice locations: Pelham, AL |
National Provider Directory
National Provider DirectoryLocations
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.