NPIMap

Organization Active NPI

Mooresville Rescue Squad

  • Land Ambulance
  • Mooresville, NC
National Provider Identifier
1174882849
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1477 Issued in NC
Legal business name
MOORESVILLE RESCUE SQUAD
Practice address
204 E. Iredell Ave.
Mooresville, NC 28115-0000
Phone
(704) 663-3660
NPI assigned
May 15, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Parish Moffitt
Title
Captain
Phone
(704) 663-3660

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1477 NC Primary

Addresses

Primary practice location

204 E. Iredell Ave.
Mooresville, NC 28115-0000

Mailing address

PO Box 1109
Mooresville, NC 28115-1109
Phone (704) 663-3660

National Provider Directory

National Provider Directory

Locations

204 E Iredell Ave
Mooresville, NC 28115
Phone (704) 663-3660

NPI Registry JSON

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

{
    "created_epoch": "1337040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1174882849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1109",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281151109",
            "telephone_number": "704-663-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E. IREDELL AVE.",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281150000",
            "telephone_number": "704-663-3660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOORESVILLE RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-15",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "MOFFITT",
        "authorized_official_first_name": "PARISH",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "704-663-3660"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.