Green Pond Volunteer Fire Dept Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

GREEN POND VOLUNTEER FIRE DEPT INC

Practice address

19629 Eastern Valley Rd
Woodstock, AL 35188-3464

Phone

(205) 938-9991

NPI assigned

Jan 2, 2019

Organization subpart

No

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

Authorized official

Name

Joseph M Hall

Title

Deputy Chief

Phone

(205) 938-9991

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Green Pond Volunteer Fire Dept

  • Land Ambulance
  • Woodstock, AL
  • NPI 1104205673
  NPPES parent name

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547078400000",
    "number": "1831661867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 361706",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352361706",
            "telephone_number": "205-823-7076",
            "fax_number": "205-978-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19629 EASTERN VALLEY RD",
            "city": "WOODSTOCK",
            "state": "AL",
            "postal_code": "351883464",
            "telephone_number": "205-938-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN POND VOLUNTEER FIRE DEPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-10",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DEPUTY CHIEF",
        "authorized_official_telephone_number": "205-938-9991"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Springer Bristow, CRNP
• Jennifer Cain, RN
• Greg Wayne Egbert, M.D.
• Fortress Inc.
• Green Pond Volunteer Fire Dept
• Karen Warren Littleton, D.M.D.
• Anna Lockhart
• Lori R Morrison, RN
• Daila Parrish
• Amanda Faye Parsons, PHARMD

• All providers in Woodstock, AL
• Land Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.