Medevac Alabama Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

MEDEVAC ALABAMA INC

Doing business as

Medevac International

Practice address

3738 N College Ave
Jackson, AL 36545-2225

Phone

(251) 348-7684

Fax

(877) 760-2418

NPI assigned

Jun 18, 2020

Last updated

Nov 18, 2021By 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

Kenneth Hughes

Title

Owner

Phone

(251) 348-7683

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Medevac International Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

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

{
    "created_epoch": "1592438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1851917504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1268",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366331268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 N COLLEGE AVE",
            "city": "JACKSON",
            "state": "AL",
            "postal_code": "365452225",
            "telephone_number": "251-348-7684",
            "fax_number": "877-760-2418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28740 US Highway 98",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365267227",
            "country_code": "US",
            "telephone_number": "251-348-7683",
            "fax_number": "251-800-7456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDEVAC ALABAMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-348-7683"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES",
            "identifier": "1169",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "259084",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medevac International",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medevac International",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ambulance in Jackson, AL
• Providers in Jackson, AL by specialty
• Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.