Gates County Rescue Squad, Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

0370123 Issued in NC

Legal business name

GATES COUNTY RESCUE SQUAD, INC

Doing business as

Gates County Rescue & EMS

Practice address

016 US Hwy 158 East
Gatesville, NC 27938-9441

Phone

(252) 357-0388

Fax

(252) 357-0141

NPI assigned

Nov 10, 2005

Last updated

Jan 9, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Stormy Tim Butts, EMT-P

Title

Chief

Phone

(252) 357-0388

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Gates County Rescue & EMS Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1023099611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "016 US HIGHWAY 158 EAST",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279389441",
            "telephone_number": "252-357-0388",
            "fax_number": "252-357-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "016 US HWY 158 EAST",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279389441",
            "telephone_number": "252-357-0388",
            "fax_number": "252-357-0141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES COUNTY RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "STORMY",
        "authorized_official_middle_name": "TIM",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "252-357-0388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT-P"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "0370123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406715",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gates County Rescue & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sheri Futrell
• Gaston Family Health Services, Inc (Kintegra at Gates County Senior High)
• Gaston Family Health Services, Inc (Kintegra at Gatesville Elementary)
• Gaston Family Health Services, Inc (Kintegra at Central Middle)
• Gates County Medical Center LLC
• Gates County Schools
• Gates House, LLC (Gates House)
• Gatesville Al-MC LLC (Gates House)
• Gatesville NC Opco LLC (Gates Health and Rehabilitation Center)
• Gateway Community Health Centers, Inc

• Ambulance in Gatesville, NC
• Providers in Gatesville, NC by specialty
• Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.