Organization Active NPI

Glenville Cashiers Rescue Squad Inc.

  • Land Ambulance
  • Cashiers, NC
National Provider Identifier
1053438697
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1123 Issued in NC
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

Updated by the provider on Feb 20, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
07113OtherNCBLUE CROSS OF NC
3406777MedicaidNC
278073OtherNCCIGNA MEDICARE PRT B

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101208000418 NC Part B Supplier - Ambulance Service Supplier 3072700632 Practice locations: Cashiers, NC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.