Organization Active NPI

McDowell County Rescue Squad & Ambulance Inc

  • Ambulance
  • Marion, NC
National Provider Identifier
1356543805
Registry record updated Feb 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1141 Issued in NC
Legal business name
MCDOWELL COUNTY RESCUE SQUAD & AMBULANCE INC
Practice address
180 State Street
Marion, NC 28752
Phone
(828) 652-6033
NPI assigned
Jun 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2008

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

Authorized official

Name
David Cable
Title
Cheif of Rescue
Phone
(828) 652-6033

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1141 NC Primary

Addresses

Primary practice location

180 State Street
Marion, NC 28752

Mailing address

60 E Court St
Marion, NC 28752-4041
Phone (828) 652-7121

Other identifiers 1

IdentifierTypeStateIssuer
3406936MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080202000072 NC Part B Supplier - Ambulance Service Supplier 1658453303 Practice locations: Marion, NC

National Provider Directory

National Provider Directory

Locations

186 State St
Marion, NC 28752
Phone (828) 652-6033

180 State St
Marion, NC 28752
Phone (828) 652-6033

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1356543805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E COURT ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524041",
            "telephone_number": "828-652-7121",
            "fax_number": "828-652-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 STATE STREET",
            "city": "MARION",
            "state": "NC",
            "postal_code": "28752",
            "telephone_number": "828-652-6033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL COUNTY RESCUE SQUAD & AMBULANCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-05",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "CABLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHEIF OF RESCUE",
        "authorized_official_telephone_number": "828-652-6033"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406936",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.