Active NPI
Clayton Area Rescue, Inc
- Land Ambulance
- Clayton, NC
National Provider Identifier
1174594592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1125
- Legal business name
- CLAYTON AREA RESCUE, INC
- Practice address
- 317 S Robertson St
Clayton, NC 27520-2346 - Phone
- (919) 553-5493
- Fax
- (919) 553-3806
- NPI assigned
- Feb 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Cangemi
- Title
- Director
- Phone
- (919) 553-5493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1125 | NC | Primary |
Addresses
Primary practice location
317 S Robertson St
Clayton, NC 27520-2346
Mailing address
PO Box 45
Clayton, NC 27528-0045
Phone (919) 553-5493
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0722A | Other | NC | BLUE CROSS/BLUE SHIELD |
| 15826 | Other | NC | CONVENTRY HEALTH/WELLPATH |
| A2856 | Other | NC | EMPIRE |
| 0722A | Other | NC | NC TEACHERS AND STATE EMP |
| 3409908 | Medicaid | NC | |
| 237729 | Other | NC | LIBERTY MUTUAL |
| 0005814058 | Other | NC | AETNA |
National Provider Directory
National Provider Directory- Tax ID family
- Clayton Area Rescue
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Clayton, NC
- NPI 1053358994
Locations
219 S Barbour St
Johnston Co EMS
Clayton, NC 27520
Phone (919) 989-5413
317 S Robertson St
Clayton, NC 27520
Phone (910) 559-5493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211328000000",
"number": "1174594592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 45",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275280045",
"telephone_number": "919-553-5493",
"fax_number": "919-553-3806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 S ROBERTSON ST",
"city": "CLAYTON",
"state": "NC",
"postal_code": "275202346",
"telephone_number": "919-553-5493",
"fax_number": "919-553-3806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYTON AREA RESCUE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-01",
"last_updated": "2008-05-21",
"status": "A",
"authorized_official_last_name": "CANGEMI",
"authorized_official_first_name": "CHRIS",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "919-553-5493"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NC",
"license": "1125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "0722A",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONVENTRY HEALTH/WELLPATH",
"identifier": "15826",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE",
"identifier": "A2856",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NC TEACHERS AND STATE EMP",
"identifier": "0722A",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409908",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LIBERTY MUTUAL",
"identifier": "237729",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0005814058",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clayton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.