Buckhead Volunteer Fire Department and Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BUCKHEAD VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC

Doing business as

Buckhead Fire & Rescue

Practice address

6810 Old Lake Rd
Bolton, NC 28423-8958

Phone

(910) 655-8332

Fax

(724) 887-9440

NPI assigned

May 27, 2006

Last updated

Dec 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Stefan Jacobs

Title

Chief

Phone

(910) 655-8940

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Buckhead Fire & Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1215984075",
    "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": "6810 OLD LAKE RD",
            "city": "BOLTON",
            "state": "NC",
            "postal_code": "284238958",
            "telephone_number": "910-655-8332",
            "fax_number": "724-887-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "STEFAN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "910-655-8940",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406779",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckhead Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buckhead Fire & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Access NC, LLC (The Center for Alternative Resources and Education)
• Ameratech of North Carolina Inc
• Ronnette Rochelle Ashley
• Bolton Health & Wellness Center
• Coastal Billing and Home Care Services, LLC
• D&a Family Care Home LLC
• Elite Care of NC, LLC
• Goshen Medical Center Incorporated
• Kelly Barnes Laham, ANP-BC

• Land Ambulance in Bolton, NC
• Providers in Bolton, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.