Hamlet Rescue & Emergency Medical Services Inc
Organization Active NPI Ambulance · Hamlet, NC
NPI 1104816677 · NPPES record last updated Apr 12, 2011
Key facts
- NPI
- 1104816677
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 1184 (NC)
- Legal business name
- HAMLET RESCUE & EMERGENCY MEDICAL SERVICES INC
- Practice address
- 302 Champlain St
Hamlet, NC 28345-3380 - Phone
- (910) 582-2441
- Fax
- (910) 582-1699
- NPI assigned
- Oct 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Ms. Mary T Gentile
- Title
- Authorized Agent
- Phone
- (860) 257-9201
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110718000630 | NC | Part B Supplier - Ambulance Service Supplier | 0749458727 | Practice locations: Hamlet, NC |
National Provider Directory
Locations
302 Champlain St
Hamlet, NC 28345
Phone (910) 582-2441
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1184 | NC | Yes |
Addresses
Primary practice location
302 Champlain St
Hamlet, NC 28345-3380
Mailing address
PO Box 290184
Wethersfield, CT 06129-0184
Phone (860) 257-9201
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 590014186 | Other | RAILROAD MEDICARE | |
| 3406847 | Medicaid | NC |
NPI Registry JSON
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1302566400000",
"number": "1104816677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290184",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061290184",
"telephone_number": "860-257-9201",
"fax_number": "860-721-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 CHAMPLAIN ST",
"city": "HAMLET",
"state": "NC",
"postal_code": "283453380",
"telephone_number": "910-582-2441",
"fax_number": "910-582-1699"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMLET RESCUE & EMERGENCY MEDICAL SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-26",
"last_updated": "2011-04-12",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "860-257-9201",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NC",
"license": "1184",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590014186",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406847",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hamlet, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.