Active NPI
Warren County Rescue
- Land Ambulance
- Rocky Mount, NC
National Provider Identifier
1093897340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- WARREN COUNTY RESCUE
- Practice address
- 123 S Grace St
Rocky Mount, NC 27803 - Phone
- (252) 977-1335
- Fax
- (252) 977-7099
- NPI assigned
- Oct 19, 2006
- 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
- Jennifer Joyner
- Title
- Manager
- Phone
- (252) 977-1335
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NC | Primary |
Addresses
Primary practice location
123 S Grace St
Rocky Mount, NC 27803
Mailing address
123 S Grace St
Rocky Mount, NC 27804-5602
Phone (252) 977-1335
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0720-L | Other | NC | BLUE CROSS BLUE SHIELD |
| 3406697 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120724000568 | NC | Part B Supplier - Ambulance Service Supplier | 5395901037 | Practice locations: Littleton, NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093897340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 S GRACE ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278045602",
"telephone_number": "252-977-1335",
"fax_number": "252-977-7099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 S GRACE ST",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "27803",
"telephone_number": "252-977-1335",
"fax_number": "252-977-7099"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN COUNTY RESCUE",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JOYNER",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "252-977-1335"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0720-L",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406697",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.