NPIMap

Organization Active NPI

City of Orange Beach

  • Land Ambulance
  • Orange Beach, AL
National Provider Identifier
1811450331
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF ORANGE BEACH
Practice address
25853 John Snook Drive
Orange Beach, AL 36561
Phone
(251) 981-6166
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Michael Kimmerling
Title
Deputy Fire Chief
Phone
(251) 981-3567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

25853 John Snook Drive
Orange Beach, AL 36561

Mailing address

PO Box 458
Orange Beach, AL 36561-0458
Phone (251) 981-6166

Other names 1

  • Orange Beach 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
O20190725000881 AL Part B Supplier - Ambulance Service Supplier 5698001857 Practice locations: Orange Beach, AL

National Provider Directory

National Provider Directory

Locations

25853 John M Snook Dr
Orange Beach, AL 36561
Phone (251) 981-6166

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1811450331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "365610458",
            "telephone_number": "251-981-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25853 JOHN SNOOK DRIVE",
            "city": "ORANGE BEACH",
            "state": "AL",
            "postal_code": "36561",
            "telephone_number": "251-981-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF ORANGE BEACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "KIMMERLING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "DEPUTY FIRE CHIEF",
        "authorized_official_telephone_number": "251-981-3567"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange Beach Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange Beach, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.