MARCI BOLLA NREMT-P NPI 1922470012

Emergency Medical Technician, Paramedic in Fort Rucker, AL

NPI 1922470012 Individual Female Emergency Medical Technician, Paramedic

About MARCI BOLLA

Marci Bolla is a provider established in Fort Rucker, Alabama and her medical specialization is emergency medical technician, paramedic. The NPI number of Marci Bolla is 1922470012 and was assigned on October 2015. The practitioner's primary taxonomy code is 146L00000X with license number M0902987 (AL). The provider is registered as an individual and her NPI record was last updated 6 years ago.

Marci Bolla is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1922470012

Provider Name MARCI BOLLA NREMT-P
Provider Location AddressBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC FORT RUCKER, AL 36362
Provider Mailing AddressBUILING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC FORT RUCKER, AL 36362
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-28-2015
Last Update Date10-28-2015


Primary Taxonomy

Taxonomy Code146L00000X
ClassificationEmergency Medical Technician, Paramedic
TypeEmergency Medical Service Providers
License No.M0902987
License StateAL
Taxonomy DescriptionAn EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

Business Address

MARCI BOLLA NREMT-P
BUILDING 301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7850

Get Directions


Mailing Address

MARCI BOLLA NREMT-P
BUILING 301 ANDREWS AVE
LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL
ZIP 36362
Phone: (334) 255-7850



Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, Paramedic9700485ALNo

Taxonomy Description: an EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards.

Other Providers at the same location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1427259662 DEBRA L. HALL CRNP
Individual
Nurse Practitioner (Women's Health)BUILDING 301 ANDREWS AVE
FT. RUCKER, AL 36362
(334) 255-7755
1356519490 CHRISTOPHER E CLEAVER
Individual
Specialist/Technologist, Pathology (Medical Technologist)BUILDING 301 ANDREWS AVE
FT RUCKER, AL 36362
(334) 255-7883
1558528679MRS. CISSY PUGH HARCUS LPN
Individual
Licensed Practical NurseBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7883
1871746750 JULIA AMANDA GREEN RN
Individual
Registered NurseBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT RUCKER, AL 36362
(334) 255-7894
1922245562MISS MAXINE COOPER WILLIAMS NURSING ASSISTANT
Individual
Nurse's AideBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7894
1922317205 YOLANDA MONIQUE JONES PSYCH TECH
Individual
Specialist/Technologist, OtherBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINC
FORT RUCKER, AL 36362
(334) 255-0439
1073810123 AMELIA GRANTHAM
Individual
Licensed Practical NurseBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7547
1326331901MRS. BETINA RENNEE GRIER LPN
Individual
Licensed Practical NurseBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FT RUCKER, AL 36362
(334) 255-7341
1295010619 LINDSEY LARRETT BRADLEY LPN
Individual
Licensed Practical NurseBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7341
1558615013MRS. TYUANNA STANLEY ROSS LPN
Individual
Licensed Practical NurseBUILDING 301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7363
1750635215 BARBARA KEY LPN
Individual
Licensed Practical NurseBUILDING 301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7363
1346664992 MELANIE COX
Individual
Licensed Practical NurseBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7068
1013329739 GERALD A ESPOSITO
Individual
Specialist/Technologist, OtherBUILDING 301 ANDREWS AVE
FORT RUCKER, AL 36362
(334) 255-7156
1952786303 ELIZABETH GUERNSEY LPN
Individual
Licensed Practical NurseBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7068
1356799407 CAMILLA NELSON HEALTH EDUCATOR
Individual
Technician, OtherBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-3935
1588015028 LAURA BURT LPN
Individual
Licensed Practical NurseBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-7068
1144776915 SHANAE LOISEAU HLTH PROMOTION TECH
Individual
Technician, OtherBUILDING 301 ANDREWS AVE LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
(334) 255-3981

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.