Organization Active NPI

City of Irondale

  • Land Ambulance
  • Irondale, AL
National Provider Identifier
1962096552
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF IRONDALE
Practice address
5308 Beacon Dr
Irondale, AL 35210-2820
Phone
(205) 823-7076
Fax
(205) 978-9876
NPI assigned
Feb 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Authorized official

Name
Joshua L McDaniel
Title
Fire Chief
Phone
(205) 823-7076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

5308 Beacon Dr
Irondale, AL 35210-2820

Mailing address

PO Box 361706
Birmingham, AL 35236-1706
Phone (205) 823-7076

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211020001250 AL Part B Supplier - Ambulance Service Supplier 8729476916 Practice locations: Irondale, AL

National Provider Directory

National Provider Directory

Locations

5308 Beacon Dr
Irondale, AL 35210
Phone (205) 823-7076

NPI Registry JSON

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

{
    "created_epoch": "1614124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1962096552",
    "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": "5308 BEACON DR",
            "city": "IRONDALE",
            "state": "AL",
            "postal_code": "352102820",
            "telephone_number": "205-823-7076",
            "fax_number": "205-978-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF IRONDALE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-24",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "205-823-7076"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irondale, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.