FT RUCKER EMS


Address: Bldg 301 Andrews Ave, Ft Rucker, AL 36362-5333
Phone: 3342557032

FT RUCKER EMS (NPI# 1467614362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467614362
Entity Type Organization
Organization Name FT RUCKER EMS
Practice Address Bldg 301 Andrews Ave
Ft Rucker
AL 36362-5333
Practice Telephone 3342557032
Mailing Telephone 3342557032
Enumeration Date 2008-07-01
Last Update Date 2008-07-01
Authorized Official Name MR. DAVID N HATAWAY (CHIEF EMS)
Authorized Official Telephone 3342557032
Authorized Official Credential PARAMEDIC
Is Organization Subpart Y
Parent Organization Name LYSTER ARMY HEALTH CLINIC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3416L0300X Ambulance
Specialization: Land Transport
9142973 AL Transportation Services

Office Location

Street Address BLDG 301 ANDREWS AVE
City FT RUCKER
State AL
Zip Code 36362-5333

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225438096 Holly Dozier Emergency Medical Technician, Basic Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft Rucker, AL 36362-5333 2014-08-29
1750707816 Bobbie Malone Pharmacist Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft Rucker, AL 36362-5333 2014-03-13
1871932293 Jamie Lynn Weber Emergency Medical Technician, Basic Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft Rucker, AL 36362-5333 2013-06-19
1851631055 Gina Louise Vaughan Registered Nurse Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft Rucker, AL 36362-5333 2013-02-25
1962785709 Ursula Patatina Strickland Licensed Practical Nurse Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft Rucker, AL 36362-5333 2011-09-27
1699067223 Cristy L Mcdaniel Licensed Practical Nurse Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft Rucker, AL 36362-5333 2011-05-16
1255665006 Angela Marie York Technician Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft Rucker, AL 36362-5333 2009-09-28
1356674188 Claribel L Viana Registered Nurse Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft Rucker, AL 36362-5333 2009-09-11
1912135039 Laura Elizabeth Ricardo Registered Nurse Bldg 301 Andrews Ave, Lyster Army Health Clinic, Ft Rucker, AL 36362-5333 2009-06-26
1528204146 Tracey Denise Francis Technician Bldg 301 Andrews Ave, Lyster Army Health Clinice, Ft Rucker, AL 36362-5333 2009-01-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235745571 Rachel Kestler Specialist 4102 Gadiator Street, Fort Rucker, AL 36362 2020-09-22
1417589268 Jacob Michael Lezon Emergency Medical Technician, Basic 30501 Nevins St., Ft. Rucker, AL 36362 2020-02-10
1225535388 Rhonda Lewis Wesolek Dental Hygienist Bldg 4405, Innkeeper Street, Fort Rucker, AL 36362 2018-04-06
1770013369 National Vision, Inc. Technician/Technologist Bldg 9214, Fort Rucker, AL 36362 2017-06-15
1750730958 Teresa Morgan Knighten Dental Hygienist 4405 Innkeepers St, Fort Rucker, AL 36362 2016-06-08
1568826246 David Virgil II Technician, Other 2218 6th Avenue Building 4102, Fort Rucker, AL 36362 2016-04-08
1356771257 Robert E Smith Emergency Medical Technician, Intermediate Blding 301 Andrew Ave, Ft Rucker, AL 36362 2013-11-14
1548503469 Lindsey Taylor Mendenhall Emergency Medical Technician, Basic Bldg 301 Andrews Ave 1-223rd Hhc, Lyster Army Health Clinic, Fort Rucker, AL 36362 2013-03-28
1689913808 Sunland Optical Co., Inc. Eyewear Supplier (Equipment, not the service) Fort Rucker Bldg. 9214, Daleville, AL 36362 2013-02-07
1275880205 Sandra Lynn Griffin Banner Optometrist 33 Endl Ave, Fort Rucker, AL 36362 2012-08-09
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Taxonomy Information

Taxonomy Code 3416L0300X
Grouping Transportation Services
Classification Ambulance
Specialization Land Transport

Taxonomy Definition

Definition to come...
Notes: [1/1/2005: title modified]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1972146157 City of Troy Ambulance 200 S Geo Wallace Dr, Troy, AL 36081-4606 2019-10-21
1265080741 South Dale Ems Inc Ambulance 400 Headquarters St, Dothan, AL 36303-7020 2019-08-28
1427613801 Lifeguard Ambulance Service LLC Ambulance 950 22nd St N Ste 800, Birmingham, AL 35203-5307 2019-05-01
1811450331 City of Orange Beach Ambulance 25853 John Snook Drive, Orange Beach, AL 36561 2019-04-11
1235693078 City of Demopolis Dba Demopolis Fire & Rescue Ambulance 306 Us Highway 80 W, Demopolis, AL 36732-4106 2019-01-25
1831661867 Green Pond Volunteer Fire Dept Inc Ambulance 19629 Eastern Valley Rd, Woodstock, AL 35188-3464 2019-01-02
1407327984 Dale Ems and Rescue Squad Ambulance 209 Oates Dr, Newton, AL 36352-4314 2018-12-10
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
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Competitor

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City FT RUCKER
Zip Code 36362

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Dataset Information

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.

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