Organization Active NPI

City of Vestavia Hills

  • Land Ambulance
  • Birmingham, AL
National Provider Identifier
1952495574
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
410 Issued in AL
Legal business name
CITY OF VESTAVIA HILLS
Doing business as
City of Vestavia Hills Fire Department
Practice address
513 Montgomery Highway
Birmingham, AL 35216
Phone
(205) 978-0225
Fax
(205) 978-0205
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Mr. James R St John
Title
Chief
Phone
(205) 978-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 410 AL Primary

Addresses

Primary practice location

513 Montgomery Highway
Birmingham, AL 35216

Mailing address

PO Box 660854
Birmingham, AL 35266-0854
Phone (205) 956-1172

Other identifiers 3

IdentifierTypeStateIssuer
000055610MedicaidAL
1952495574OtherALTRICARE SOUTH
510-55610OtherALBCBS

Other names 1

  • City of Vestavia Hills 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
O20080128000468 AL Part B Supplier - Ambulance Service Supplier 7911089156 Practice locations: Vestavia Hills, AL

National Provider Directory

National Provider Directory

Locations

513 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 295-3004

1032 Montgomery Hwy
Vestavia Hills, AL 35216
Phone (205) 978-0225

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1952495574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660854",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352660854",
            "telephone_number": "205-956-1172",
            "fax_number": "205-384-9758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 MONTGOMERY HIGHWAY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-978-0225",
            "fax_number": "205-978-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF VESTAVIA HILLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "ST JOHN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "205-978-0225",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000055610",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE SOUTH",
            "identifier": "1952495574",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-55610",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Vestavia Hills Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; 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.