Wicksburg Fire Rescue

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

422 Issued in AL

Legal business name

WICKSBURG FIRE RESCUE

Practice address

1610 Adkinson Rd
Newton, AL 36352-8820

Phone

(334) 692-3866

NPI assigned

Jul 18, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymond D Shiver

Title

Captain

Phone

(334) 692-3866

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801815196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 ADKINSON ROAD",
            "city": "NEWTON",
            "state": "AL",
            "postal_code": "36352",
            "telephone_number": "334-692-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 ADKINSON RD",
            "city": "NEWTON",
            "state": "AL",
            "postal_code": "363528820",
            "telephone_number": "334-692-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKSBURG FIRE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIVER",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "334-692-3866"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "510-56180",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin M Sineath
• Vallie Skelton
• Southeast Alabama Rural Health Associates (Newton Family Health Center)
• Jennifer Gatlin Stephens, LPC
• Era Joe Turner
• Wicksburg Volunteer Fire Rescue Dept Inc (Wicksburg Rescue)
• Charles David Winfrey, P.A.

• Land Ambulance in Newton, AL
• Providers in Newton, AL by specialty
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.