Active NPI
Boone Trail Emergency Services Inc
- Land Ambulance
- Lillington, NC
National Provider Identifier
1275595209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1412
- Legal business name
- BOONE TRAIL EMERGENCY SERVICES INC
- Practice address
- 7016 US 421 South
Lillington, NC 27546 - Phone
- (910) 893-3750
- NPI assigned
- Apr 5, 2006
- Last updated
- Feb 10, 2010
- Organization subpart
- Yes
- Parent organization
- HARNETT COUNTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tony Currin
- Title
- Rescue Chief
- Phone
- (910) 893-3750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1412 | NC | Primary |
Addresses
Primary practice location
7016 US 421 South
Lillington, NC 27546
Mailing address
PO Box 760
Lillington, NC 27546-0760
Phone (910) 893-7565
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406746 | Medicaid | NC | |
| 0726F | Other | NC | BLUE CROSS PROVIDER ID |
| 590013108 | Other | NC | RR MEDICARE PROV. ID |
National Provider Directory
National Provider Directory- Part of
- Harnett County Health
Locations
200 N 13th St
Ste 19A
Erwin, NC 28339
7016 US 421 N
Lillington, NC 27546
Phone (910) 893-3750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1275595209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275460760",
"telephone_number": "910-893-7565",
"fax_number": "910-893-3445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7016 US 421 SOUTH",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "27546",
"telephone_number": "910-893-3750"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BOONE TRAIL EMERGENCY SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HARNETT COUNTY",
"enumeration_date": "2006-04-05",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "CURRIN",
"authorized_official_first_name": "TONY",
"authorized_official_title_or_position": "RESCUE CHIEF",
"authorized_official_telephone_number": "910-893-3750"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NC",
"license": "1412",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406746",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROVIDER ID",
"identifier": "0726F",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROV. ID",
"identifier": "590013108",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.