Rural Carolina Ambulance Service, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

RURAL CAROLINA AMBULANCE SERVICE, LLC

Practice address

310 W 17TH St
Scotland Neck, NC 27874-1402

Phone

(252) 883-4226

NPI assigned

Jan 29, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Wayne Thomas Joyner, PARAMEDIC

Title

Manager

Phone

(252) 883-4226

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1580256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1104457001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 ACADEMY ST S STE B",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103200",
            "telephone_number": "252-883-4226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W 17TH ST",
            "city": "SCOTLAND NECK",
            "state": "NC",
            "postal_code": "278741402",
            "telephone_number": "252-883-4226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "312 Academy St S Ste B",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279103200",
            "country_code": "US",
            "telephone_number": "252-209-1312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RURAL CAROLINA AMBULANCE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-29",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "JOYNER",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "252-883-4226",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PARAMEDIC"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Our Community Hospital, Inc
• Our Community Hospital, Inc
• Our Community Hospital, Inc
• Emily Grace Polhamus, APRN
• Kimberlyn C Richardson
• Rural Health Group, Inc. (Rural Health Group at Scotland Neck)
• Scotland Neck Family Medical Center, Inc.
• Scotland Neck NC Opco LLC (Scotland Manor Health and Rehabilitation Center)
• Christopher A Smith, PHARM.D
• Susan Bullard Staton, P.T.

• Land Ambulance in Scotland Neck, NC
• Providers in Scotland Neck, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2022; 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.