Organization Active NPI

Anniston Emerg Med SVCS

  • Ambulance
  • Anniston, AL
National Provider Identifier
1821037755
Registry record updated Aug 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
4453 Issued in AL
Legal business name
ANNISTON EMERG MED SVCS
Practice address
1501 Noble St
Anniston, AL 36201-3836
Phone
(256) 236-6005
Fax
(256) 241-0015
NPI assigned
Jun 6, 2006
Last updated
Aug 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2007

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

Authorized official

Name
Mr. Johnny Ray Warren
Title
President
Phone
(256) 236-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 4453 AL Primary

Addresses

Primary practice location

1501 Noble St
Anniston, AL 36201-3836

Mailing address

1501 Noble St
Anniston, AL 36201-3836
Phone (256) 236-6005

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070828000144 AL Part B Supplier - Ambulance Service Supplier 0244322816 Practice locations: Anniston, AL

National Provider Directory

National Provider Directory

Locations

1501 Noble St
Anniston, AL 36201
Phone (256) 236-6005

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186012800000",
    "number": "1821037755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NOBLE ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362013836",
            "telephone_number": "256-236-6005",
            "fax_number": "256-241-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 NOBLE ST",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362013836",
            "telephone_number": "256-236-6005",
            "fax_number": "256-241-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNISTON EMERG MED SVCS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-08-02",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-236-6005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "4453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2007; 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.