Organization Active NPI

Clayton Area Rescue, Inc

  • Land Ambulance
  • Clayton, NC
National Provider Identifier
1174594592
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1125 Issued in NC
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

Updated by the provider on May 21, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0722AOtherNCBLUE CROSS/BLUE SHIELD
15826OtherNCCONVENTRY HEALTH/WELLPATH
A2856OtherNCEMPIRE
0722AOtherNCNC TEACHERS AND STATE EMP
3409908MedicaidNC
237729OtherNCLIBERTY MUTUAL
0005814058OtherNCAETNA

National Provider Directory

National Provider Directory
Tax ID family
Clayton Area Rescue2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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.

Verify at the official NPI Registry.