NPIMap

Organization Active NPI

Surry County Convalescent Services

  • Land Ambulance
  • Mount Airy, NC
National Provider Identifier
1316221633
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1204 Issued in NC
Legal business name
SURRY COUNTY CONVALESCENT SERVICES
Practice address
1218 State St
Suite 500
Mount Airy, NC 27030-5001
Phone
(336) 783-9000
Fax
(336) 783-9010
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Mr. John Q. Shelton III
Title
Director
Phone
(336) 783-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1204 NC Primary

Addresses

Primary practice location

1218 State St
Suite 500
Mount Airy, NC 27030-5001

Mailing address

1218 State St
Suite 500
Mount Airy, NC 27030-5001
Phone (336) 783-9000

National Provider Directory

National Provider Directory
Tax ID family
Surry County Convalescent Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1316221633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 STATE ST",
            "address_2": "SUITE 500",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305001",
            "telephone_number": "336-783-9000",
            "fax_number": "336-783-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 STATE ST",
            "address_2": "SUITE 500",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305001",
            "telephone_number": "336-783-9000",
            "fax_number": "336-783-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURRY COUNTY CONVALESCENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "Q.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-783-9000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.