PLEASANT BAY AMBULANCE SERVICE (NPI# 1649355017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649355017 |
| Entity Type | Organization |
| Organization Name | PLEASANT BAY AMBULANCE SERVICE |
| Practice Address |
1301 Jackson Ave N Russellville AL 35653-1634 |
| Mailing Address |
Po Box 133 Red Bay AL 35582-0133 |
| Practice Telephone | 2563314819 |
| Practice Fax Number | 2563317491 |
| Mailing Telephone | 2563314819 |
| Mailing Fax Number | 2563317491 |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | ELZIE MALONE (OWNER) |
| Authorized Official Telephone | 2563314819 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
728 | AL | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BC/BS OF ALABAMA | 51077449 | 01 |
| Street Address |
1301 JACKSON AVE N |
| City | RUSSELLVILLE |
| State | AL |
| Zip Code | 35653-1634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902384720 | Randy Wade Gooch | Pharmacist | 13675 Us-43, Russellville, AL 35653 | 2018-08-02 |
| 1700301470 | Carole Ann Montgomery | Pharmacist | Walmart Pharmacy, 13675 Us-43, Russellville, AL 35653 | 2017-08-03 |
| 1548632755 | Amanda Carrie Franks | Health Educator | 265 Skyline Dr, Russellville, AL 35653 | 2015-10-27 |
| 1023411220 | Wesley Charles Mayfield | Pharmacist | 14001 Hwy 43 Suite 13, Russellville, AL 35653 | 2014-10-01 |
| 1831322841 | Family Health Care Clinic, Inc. | Clinic/Center | 318 Coffee Ave Ne, Russellville, AL 35653 | 2009-08-25 |
| 1538371075 | Eyedocs On Wheels PC | Optometrist | 15255 Hwy 43, Russellville, AL 35653 | 2007-05-04 |
| 1063634574 | Russellville Physician Practices LLC | Orthopaedic Surgery | 715 Gandy Street Ne, Suite B, Russellville, AL 35653 | 2007-05-03 |
| 1750404141 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 14695 Hwy 43, Russellville, AL 35653 | 2007-04-09 |
| 1629111703 | Franklin County Health Dept Offsite Epsdt | Public Health or Welfare | 801 Highway 48, Russellville, AL 35653 | 2007-02-15 |
| 1750457941 | Southern Rural Health Care Consortium, Inc. | Clinic/Center | 318 Coffee Avenue, Russellville, AL 35653 | 2006-11-28 |
| Find all providers in zip 35653 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386137545 | Littleville Volunteer Fire Department | Ambulance | 1745 Bailey Ln, Russellville, AL 35654-3201 | 2018-06-12 |
| 1376651521 | Pope County | Ambulance | 3 County Complex Cir, Russellville, AR 72802-9423 | 2006-08-28 |
| 1548234149 | Northstar Ems Inc | Ambulance | 1018 Ronnie Mcdowell Ave, Russellville, AL 35654-8395 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972146157 | City of Troy | Ambulance | 200 S Geo Wallace Dr, Troy, AL 36081-4606 | 2019-10-21 |
| 1265080741 | South Dale Ems Inc | Ambulance | 400 Headquarters St, Dothan, AL 36303-7020 | 2019-08-28 |
| 1427613801 | Lifeguard Ambulance Service LLC | Ambulance | 950 22nd St N Ste 800, Birmingham, AL 35203-5307 | 2019-05-01 |
| 1811450331 | City of Orange Beach | Ambulance | 25853 John Snook Drive, Orange Beach, AL 36561 | 2019-04-11 |
| 1235693078 | City of Demopolis Dba Demopolis Fire & Rescue | Ambulance | 306 Us Highway 80 W, Demopolis, AL 36732-4106 | 2019-01-25 |
| 1831661867 | Green Pond Volunteer Fire Dept Inc | Ambulance | 19629 Eastern Valley Rd, Woodstock, AL 35188-3464 | 2019-01-02 |
| 1407327984 | Dale Ems and Rescue Squad | Ambulance | 209 Oates Dr, Newton, AL 36352-4314 | 2018-12-10 |
| 1619455516 | East Alabama Water, Sewer, & Fire Protection District | Ambulance | 150 Fob James Drive, Valley, AL 36854 | 2018-08-02 |
| 1750898946 | Smiths Station Fire and Rescue | Ambulance | 50 Lee Road 430, Smiths Station, AL 36877-2600 | 2018-01-09 |
| 1831617547 | Emerald Coast Medical Transportation, LLC | Ambulance | 21001 Rachel Myers Ln, Fairhope, AL 36532-4627 | 2017-09-01 |
| Find all providers with the same taxonomy | ||||
| City | RUSSELLVILLE |
| Zip Code | 35653 |
Please comment or provide details below to improve the information on PLEASANT BAY AMBULANCE SERVICE.
| 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.