The Roanoke Valley Rescue Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1380 Issued in NC

Legal business name

THE ROANOKE VALLEY RESCUE SQUAD, INC

Practice address

201 Washington St
Roanoke Rapids, NC 27870-2026

Phone

(252) 537-7181

Fax

(252) 537-6445

NPI assigned

Oct 10, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Mark Collier

Title

EMS Director

Phone

(252) 537-7181

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1104814508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230863",
            "telephone_number": "800-948-7991",
            "fax_number": "336-766-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 WASHINGTON ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278702026",
            "telephone_number": "252-537-7181",
            "fax_number": "252-537-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ROANOKE VALLEY RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "COLLIER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "252-537-7181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590011949",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406653",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Mental Health Association in North Carolina, Inc
• The Mental Health Association in North Carolina, Inc
• The Mental Health Association in North Carolina, Inc
• The Mental Health Association in North Carolina, Inc
• The Mental Health Association in North Carolina, Inc.
• Thomas James Thiel, DC
• Thomas E Fleming DDS PA
• Alayna Ashley Thomas
• Joey P Thomas, M.D.
• Timothy Deans House LLC

• All providers in Roanoke Rapids, NC
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.