Lumberton Rescue and Emergency Medical Service, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1189 Issued in NC

Legal business name

LUMBERTON RESCUE AND EMERGENCY MEDICAL SERVICE, INC

Practice address

2391 N Roberts Ave
Lumberton, NC 28358-2863

Phone

(910) 738-7275

Fax

(910) 738-9292

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Cook

Title

Treasurer

Phone

(910) 739-8880

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lumberton Emergency Rescue Unit, Inc Former legal business name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1326220443",
    "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": "2391 N ROBERTS AVE",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582863",
            "telephone_number": "910-738-7275",
            "fax_number": "910-738-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMBERTON RESCUE AND EMERGENCY MEDICAL SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "910-739-8880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406689",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lumberton Emergency Rescue Unit, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Lumberton Emergency Rescue Unit, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Land Ambulance in Lumberton, NC
• Providers in Lumberton, 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 6, 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.