JACKSON EMERGENCY TRANSPORT SERVICE LLC NPI 1831206713

NPI Information

NPI: 1831206713
Provider Name: JACKSON EMERGENCY TRANSPORT SERVICE, LLC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
133 COURT ST
GROVE HILL, AL
ZIP 36451
Phone: (601) 422-7281
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JACKSON EMERGENCY TRANSPORT SERVICE, LLC is a land transport ambulance in Grove Hill, AL. JACKSON EMERGENCY TRANSPORT SERVICE, LLC NPI is 1831206713. The provider is registered as an organization entity type.

The provider's business location address is:

133 COURT ST
GROVE HILL, AL
ZIP 36451-228
Phone: (601) 422-7281

The provider's authorized official is Kevin Smith .
The authorized official title is Manager and has the following contact phone number (614) 422-7281.

The enumeration date for this NPI number is 8/24/2006 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	552	ALABAMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	51050479	OTHER	ALABAMA	BCBS
2	200013112	MEDICAID	ALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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