SOUTH DALE EMS INC (NPI# 1265080741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265080741 |
| Entity Type | Organization |
| Organization Name | SOUTH DALE EMS INC |
| Practice Address |
400 Headquarters St Dothan AL 36303-7020 |
| Mailing Address |
Po Box 5 Pinckard AL 36371-0005 |
| Practice Telephone | 3498330273 |
| Practice Fax Number | 3349842018 |
| Mailing Telephone | 3347184158 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | JEFFREY WAYNE ATKINS (EMS DIRECTOR) |
| Authorized Official Telephone | 3347814158 |
| Authorized Official Credential | AEMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Street Address |
400 HEADQUARTERS ST |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303-7020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| 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 |
|---|---|---|---|---|
| 1386710515 | Dothan Ambulance Service | Ambulance | 923 S Foster St, Dothan, AL 36301-3649 | 2006-11-28 |
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| 1619455516 | East Alabama Water, Sewer, & Fire Protection District | Ambulance | 150 Fob James Drive, Valley, AL 36854 | 2018-08-02 |
| 1386137545 | Littleville Volunteer Fire Department | Ambulance | 1745 Bailey Ln, Russellville, AL 35654-3201 | 2018-06-12 |
| 1750898946 | Smiths Station Fire and Rescue | Ambulance | 50 Lee Road 430, Smiths Station, AL 36877-2600 | 2018-01-09 |
| 1831617547 | Emerald Coast Medical Transportation, LLC | Ambulance | 21001 Rachel Myers Ln, Fairhope, AL 36532-4627 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
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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.