NPIMap

Organization Active NPI

Henderson County Rescue Squad

  • Land Ambulance
  • Hendersonville, NC
National Provider Identifier
1265798243
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1117 Issued in NC
Legal business name
HENDERSON COUNTY RESCUE SQUAD
Practice address
322 Williams St
Hendersonville, NC 28792-4461
Phone
(828) 692-3487
NPI assigned
Apr 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Authorized official

Name
Dwayne Durham
Title
President
Phone
(828) 692-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1117 NC Primary

Addresses

Primary practice location

322 Williams St
Hendersonville, NC 28792-4461

Mailing address

PO Box 1729
Hendersonville, NC 28793-1729
Phone (828) 692-3487

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080515000648 NC Part B Supplier - Ambulance Service Supplier 8527137678 Practice locations: Hendersonville, NC

National Provider Directory

National Provider Directory
Tax ID family
Henderson County Rescue Squad Inc2 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

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1265798243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1729",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287931729",
            "telephone_number": "828-692-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 WILLIAMS ST",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287924461",
            "telephone_number": "828-692-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON COUNTY RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-692-3487"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

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