NPIMap

Organization Active NPI

Scotland County EMS

  • Land Ambulance
  • Laurinburg, NC
National Provider Identifier
1114924644
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1202 Issued in NC
Legal business name
SCOTLAND COUNTY EMS
Practice address
1403 West Blvd
Laurinburg, NC 28352-9170
Phone
(910) 276-1313
Fax
(910) 277-2413
NPI assigned
Jun 30, 2005
Last updated
Oct 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Authorized official

Name
Mr. Roylin Hammond
Title
Director
Phone
(910) 276-1313

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1202 NC Primary
Paramedic 146L00000X 0830309 NC

Addresses

Primary practice location

1403 West Blvd
Laurinburg, NC 28352-9170

Mailing address

1403 West Blvd
P.O. Box 1407
Laurinburg, NC 28352
Phone (910) 276-1313

Other identifiers 2

IdentifierTypeStateIssuer
3406626MedicaidNC
0830309OtherNCNCOEMS PROVIDER NO.

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120114000072 NC Part B Supplier - Ambulance Service Supplier 5193874634 Practice locations: Laurinburg, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Scotland County Area Transit System4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1403 West Blvd
Laurinburg, NC 28352
Phone (910) 276-1313

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1114924644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 WEST BLVD",
            "address_2": "P.O. BOX 1407",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "28352",
            "telephone_number": "910-276-1313",
            "fax_number": "910-277-2413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 WEST BLVD",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283529170",
            "telephone_number": "910-276-1313",
            "fax_number": "910-277-2413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTLAND COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "ROYLIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-276-1313",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1202",
            "primary": true
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NC",
            "license": "0830309",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406626",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCOEMS PROVIDER NO.",
            "identifier": "0830309",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; 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.