Wicksburg Volunteer Fire Rescue Dept Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WICKSBURG VOLUNTEER FIRE RESCUE DEPT INC

Practice address

5340 Judge Logue Rd
Newton, AL 36352-8472

Phone

(334) 347-0333

Fax

(334) 347-7666

NPI assigned

Nov 8, 2016

Organization subpart

No

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

Authorized official

Name

Wanda Andress

Title

Chief

Phone

(334) 389-3420

Specialties & licenses 1

Addresses

Other names 1

• Wicksburg Rescue 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": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1992247993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5340 JUDGE LOGUE RD",
            "city": "NEWTON",
            "state": "AL",
            "postal_code": "363528472",
            "telephone_number": "334-347-0333",
            "fax_number": "334-347-7666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 JUDGE LOGUE RD",
            "city": "NEWTON",
            "state": "AL",
            "postal_code": "363528472",
            "telephone_number": "334-347-0333",
            "fax_number": "334-347-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKSBURG VOLUNTEER FIRE RESCUE DEPT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "ANDRESS",
        "authorized_official_first_name": "WANDA",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "334-389-3420"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wicksburg Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vallie Skelton
• Southeast Alabama Rural Health Associates
• Jennifer Gatlin Stephens, LPC
• Era Joe Turner
• Wicksburg Fire Rescue
• Charles David Winfrey, P.A.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.