Organization Active NPI

Red Springs Rescue Squad

  • Land Ambulance
  • Red Springs, NC
National Provider Identifier
1164412623
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1193 Issued in NC
Legal business name
RED SPRINGS RESCUE SQUAD
Practice address
209 W 4TH Ave
Red Springs, NC 28377-1509
Phone
(910) 359-8078
NPI assigned
Oct 26, 2005
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Mr. Joseph Whitley
Title
Secretary/Tresurer
Phone
(910) 359-8078

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1193 NC
Land Ambulance 3416L0300X 1193 NC Primary

Addresses

Primary practice location

209 W 4TH Ave
Red Springs, NC 28377-1509

Mailing address

409 Porter Ave
Scottdale, PA 15683-1141
Phone (724) 887-6822

Other identifiers 1

IdentifierTypeStateIssuer
0346605MedicaidNC

National Provider Directory

National Provider Directory

Locations

209 W 4th Ave
Red Springs, NC 28377
Phone (910) 359-8078

927 E 4th Ave
Red Springs, NC 28377
Phone (910) 843-4412

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1164412623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W 4TH AVE",
            "city": "RED SPRINGS",
            "state": "NC",
            "postal_code": "283771509",
            "telephone_number": "910-359-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED SPRINGS RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-26",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "WHITLEY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "SECRETARY/TRESURER",
        "authorized_official_telephone_number": "910-359-8078",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1193",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0346605",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.