SHOALS AMBULANCE LLC (NPI# 1073871836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073871836 |
Entity Type | Organization |
Organization Name | SHOALS AMBULANCE LLC |
Other Organization Name | PRIORITY AMBULANCE |
Practice Address |
610 Thompson St Florence AL 35630-3859 |
Mailing Address |
5251 S East St Suite 5 Indianapolis IN 46227-2038 |
Practice Telephone | 8445974911 |
Mailing Telephone | 8445974911 |
Enumeration Date | 2012-04-30 |
Last Update Date | 2020-10-02 |
Authorized Official Name | MR. MICKEUL B. GIBSON (PRESIDENT AND CEO) |
Authorized Official Telephone | 8445974911 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1032 | AL | Transportation Services |
Other Name | Type Code |
---|---|
Priority Ambulance | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497177695 | Shoals Ambulance LLC | Ambulance | 310 E Dr Hicks Blvd, Florence, AL 35630-5770 | 2014-01-08 |
1356761589 | Shoals Ambulance LLC | Ambulance | 910 Callahan Dr, Suite 101, Knoxville, TN 37912-1347 | 2014-04-28 |
Street Address |
610 THOMPSON ST |
City | FLORENCE |
State | AL |
Zip Code | 35630-3859 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
Find all providers in zip 35630 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013363258 | Florence Rescue Squad Ltd | Ambulance | 747 Lake Ave, Florence, WI 54121 | 2016-05-06 |
1437539053 | Regeneration Center | Ambulance | 1801 Jason Dr, Florence, SC 29505-3220 | 2015-06-09 |
1376931402 | American Critical Care Transport | Ambulance | 873 Ivanhoe Dr, Florence, SC 29505-3613 | 2014-12-23 |
1497177695 | Shoals Ambulance LLC | Ambulance | 310 E Dr Hicks Blvd, Florence, AL 35630-5770 | 2014-01-08 |
1245662634 | Ambu 1 Transport Service LLC | Ambulance | 1557 Waverly Ave, Florence, SC 29501-3352 | 2013-08-07 |
1720379571 | Medone Medical Transport, LLC | Ambulance | 3211a Bryson Dr, Florence, SC 29501-6011 | 2011-04-27 |
1861781197 | Coastal Medical Transprt LLC | Ambulance | 6906 Hollybrook Cir, Florence, SC 29505-9291 | 2011-04-07 |
1124337209 | National Transport | Ambulance | 2124 W Jody Rd, Florence, SC 29501-2032 | 2010-10-06 |
1548581333 | Heartline Transport Services, LLC | Ambulance | 117 Conyers Ave, Florence, SC 29505-3160 | 2010-06-16 |
1811085657 | Lakeside Medical Response | Ambulance | 3658 S Irby St, Florence, SC 29505-5225 | 2006-10-10 |
Find all providers in FLORENCE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.