Active NPI
Nakina Fire & Rescue Squad Inc
Doing business as Nakina Fire and Rescue Squad
- Land Ambulance
- Nakina, NC
National Provider Identifier
1306884002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- NAKINA FIRE & RESCUE SQUAD INC
- Doing business as
- Nakina Fire and Rescue Squad
- Practice address
- 214 Ramsey Ford Rd
Nakina, NC 28455-8939 - Phone
- (910) 642-2410
- Fax
- (910) 642-3747
- NPI assigned
- Jun 3, 2006
- Last updated
- Mar 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Duncan
- Title
- Chairman of the Board
- Phone
- (910) 641-1931
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NC | Primary |
Addresses
Primary practice location
214 Ramsey Ford Rd
Nakina, NC 28455-8939
Mailing address
409 Porter Ave
Scottdale, PA 15683-1141
Phone (724) 887-6822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406942 | Medicaid | NC |
Other names 1
- Nakina Fire and Rescue Squad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120210000104 | NC | Part B Supplier - Ambulance Service Supplier | 5395902811 | Practice locations: Nakina, NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711670400000",
"number": "1306884002",
"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": "214 RAMSEY FORD RD",
"city": "NAKINA",
"state": "NC",
"postal_code": "284558939",
"telephone_number": "910-642-2410",
"fax_number": "910-642-3747"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAKINA FIRE & RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "CHAIRMAN OF THE BOARD",
"authorized_official_telephone_number": "910-641-1931",
"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": "3406942",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Nakina Fire and Rescue Squad",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Nakina, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.