NPIMap

Organization Active NPI

Daleville Volunteer Rescue Squad

  • Land Ambulance
  • Daleville, AL
National Provider Identifier
1962470716
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
3416L0300X Issued in AL
Legal business name
DALEVILLE VOLUNTEER RESCUE SQUAD
Practice address
730 S Daleville Ave
Daleville, AL 36322
Phone
(334) 598-4442
Fax
(334) 598-8670
NPI assigned
Mar 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Charles G Sapp Jr.
Title
Billing Clerk Records
Phone
(334) 598-4442

Specialties & licenses 1

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

Addresses

Primary practice location

730 S Daleville Ave
Daleville, AL 36322

Mailing address

PO Box 188
Daleville, AL 36322
Phone (334) 598-4442

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120510000623 AL Part B Supplier - Ambulance Service Supplier 5092974915 Practice locations: Daleville, AL

National Provider Directory

National Provider Directory

Locations

730 S Daleville Ave
Daleville, AL 36322
Phone (334) 598-4442

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962470716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 188",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "36322",
            "telephone_number": "334-598-4442",
            "fax_number": "334-598-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 S DALEVILLE AVE",
            "city": "DALEVILLE",
            "state": "AL",
            "postal_code": "36322",
            "telephone_number": "334-598-4442",
            "fax_number": "334-598-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALEVILLE VOLUNTEER RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAPP",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "BILLING CLERK RECORDS",
        "authorized_official_telephone_number": "334-598-4442",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": "3416L0300X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daleville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.