City of Hartford Rescue Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

License

258 Issued in AL

Legal business name

CITY OF HARTFORD RESCUE SQUAD

Practice address

503 S 3Rd Ave
Hartford, AL 36344-1864

Phone

(334) 347-0333

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Tammy Dodson, PARAMEDIC

Title

Billing Clerk

Phone

(334) 347-0333

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1992886873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 183",
            "city": "HARTFORD",
            "state": "AL",
            "postal_code": "363440183",
            "telephone_number": "334-393-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S 3RD AVE",
            "city": "HARTFORD",
            "state": "AL",
            "postal_code": "363441864",
            "telephone_number": "334-347-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HARTFORD RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "334-347-0333",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "AL",
            "license": "258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  AL",
            "identifier": "510-51167",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Felicia Temitop Ayodeji, COTA/L
• Carolyn Barlow, COTA/L
• Bethesda Counseling LLC
• Deborah L. Brunson, LPTA
• Jami Danielle Bryant, LPTA
• Diversicare Hartford, LLC
• Freds Stores of Tennessee Inc.
• Amee Dan Fulford, BS, MHR, LPC
• Geneva County Health Dept STD
• Hanley Gilley

• All providers in Hartford, AL
• Ambulance in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.