Active NPI
Glenville Cashiers Rescue Squad Inc.
- Land Ambulance
- Cashiers, NC
National Provider Identifier
1053438697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1123
- Legal business name
- GLENVILLE CASHIERS RESCUE SQUAD INC.
- Practice address
- 79 N Norton Rd
Cashiers, NC 28717 - Phone
- (828) 743-3655
- Fax
- (828) 743-5063
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jeremy B Stewart
- Title
- Emt
- Phone
- (828) 743-3655
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1123 | NC | Primary |
Addresses
Primary practice location
79 N Norton Rd
Cashiers, NC 28717
Mailing address
79 N Norton Rd
P.O Box 919
Cashiers, NC 28717
Phone (828) 743-3655
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07113 | Other | NC | BLUE CROSS OF NC |
| 3406777 | Medicaid | NC | |
| 278073 | Other | NC | CIGNA MEDICARE PRT B |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101208000418 | NC | Part B Supplier - Ambulance Service Supplier | 3072700632 | Practice locations: Cashiers, NC |
National Provider Directory
National Provider DirectoryLocations
63 N Norton Rd
Cashiers, NC 28717
Phone (828) 743-3655
79 N Norton Rd
Cashiers, NC 28717
Phone (828) 743-3655
154 Medical Park Loop
Ste 100
Sylva, NC 28779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392854400000",
"number": "1053438697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 N NORTON RD",
"address_2": "P.O BOX 919",
"city": "CASHIERS",
"state": "NC",
"postal_code": "28717",
"telephone_number": "828-743-3655",
"fax_number": "828-743-5063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 N NORTON RD",
"city": "CASHIERS",
"state": "NC",
"postal_code": "28717",
"telephone_number": "828-743-3655",
"fax_number": "828-743-5063"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENVILLE CASHIERS RESCUE SQUAD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-26",
"last_updated": "2014-02-20",
"status": "A",
"authorized_official_last_name": "STEWART",
"authorized_official_first_name": "JEREMY",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "EMT",
"authorized_official_telephone_number": "828-743-3655"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NC",
"license": "1123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NC",
"identifier": "07113",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406777",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA MEDICARE PRT B",
"identifier": "278073",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cashiers, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.