MILLBROOK FIRE DEPARTMENT (CITY OF MILLBROOK) NPI 1285707737

Ambulance (Land Transport) in Millbrook, AL

NPI 1285707737 Organization Ambulance Land Transport

About MILLBROOK FIRE DEPARTMENT (CITY OF MILLBROOK)

Millbrook Fire Department (city Of Millbrook) is a provider established in Millbrook, Alabama specializing in ambulance (land transport) . The NPI number of Millbrook Fire Department (city Of Millbrook) is 1285707737 and was assigned on November 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 308 (AL). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Millbrook Fire Department. The authorized official of this NPI record is Mr. Larry Russell Brown (Fire Chief)

NPI

1285707737

Provider NameMILLBROOK FIRE DEPARTMENT (CITY OF MILLBROOK)
Provider Location Address3820 GRANDVIEW ROAD MILLBROOK, AL 36054
Provider Mailing AddressPO BOX 630 MILLBROOK, AL 36054
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameMILLBROOK FIRE DEPARTMENT
Other Name TypeDoing Business As (3)
Enumeration Date11-15-2006
Last Update Date02-01-2012


Primary Taxonomy

Taxonomy Code3416L0300X
ClassificationAmbulance
TypeTransportation Services
SpecializationLand Transport
License No.308
License StateAL

Business Address

MILLBROOK FIRE DEPARTMENT
3820 GRANDVIEW ROAD
MILLBROOK, AL
ZIP 36054
Phone: (334) 285-6707
Fax: (334) 285-0307

Get Directions


Mailing Address

MILLBROOK FIRE DEPARTMENT
PO BOX 630
MILLBROOK, AL
ZIP 36054
Phone: (334) 285-6707
Fax: (334) 285-0307



Authorized Official

Authorized Official NameMR. LARRY RUSSELL BROWN
Authorized Official TitleFIRE CHIEF
Authorized Official Phone(334) 285-6707

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
200026107MEDICAID (05)AL
52212MEDICARE ID-TYPE UNSPECIFIED (04)AL

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.