HAYNES AMBULANCE OF WETUMPKA NPI 1306959028

Ambulance (Land Transport) in Wetumpka, AL

NPI 1306959028 Organization Ambulance Land Transport

About HAYNES AMBULANCE OF WETUMPKA

Haynes Ambulance Of Wetumpka is a provider established in Wetumpka, Alabama specializing in ambulance (land transport) . The NPI number of Haynes Ambulance Of Wetumpka is 1306959028 and was assigned on August 2006. The practitioner's primary taxonomy code is 3416L0300X with license number 0265 (AL). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Brandee Haynes Barrett Emt-p (Manager)

NPI

1306959028

Provider NameHAYNES AMBULANCE OF WETUMPKA
Provider Location Address219 COMPANY ST WETUMPKA, AL 36092
Provider Mailing AddressP.O. BOX 116 WETUMPKA, AL 36092
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-16-2006
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code3416L0300X
ClassificationAmbulance
TypeTransportation Services
SpecializationLand Transport
License No.0265
License StateAL

Business Address

HAYNES AMBULANCE OF WETUMPKA
219 COMPANY ST
WETUMPKA, AL
ZIP 36092
Phone: (334) 567-7039

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Mailing Address

HAYNES AMBULANCE OF WETUMPKA
P.O. BOX 116
WETUMPKA, AL
ZIP 36092
Phone: (334) 567-7039



Authorized Official

Authorized Official NameMRS. BRANDEE HAYNES BARRETT EMT-P
Authorized Official TitleMANAGER
Authorized Official Phone(334) 241-5224

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
510-51928OTHER (01)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.