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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
9142973 | AL | Transportation Services |
Street Address |
BLDG 301 ANDREWS AVE |
City | FT RUCKER |
State | AL |
Zip Code | 36362-5333 |
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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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 |
Find all providers in zip 36362 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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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.