Ash-Rand Rescue Squad and Emergency Medical Services, Inc.

Key facts

NPI: 1386635993
Entity type: Organization (NPI type 2)
Primary specialty: Ambulance 341600000X
Legal business name: ASH-RAND RESCUE SQUAD AND EMERGENCY MEDICAL SERVICES, INC.
Practice address: 805 S Cox St
Asheboro, NC 27203-6463
Phone: (336) 625-3354
Fax: (336) 625-3354
NPI assigned: Nov 2, 2005
Organization subpart: No

Authorized official

Name: Mr. Larry James Pugh
Title: Executive Director
Phone: (336) 625-3354

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NC

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20110921000665	NC	Part B Supplier - Ambulance Service Supplier	7214108315	Practice locations: Asheboro, NC

National Provider Directory

Locations

805 S Cox St
Asheboro, NC 27203
Phone (336) 318-6500

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Ambulance	341600000X			Yes

Addresses

Primary practice location

805 S Cox St
Asheboro, NC 27203-6463

Mailing address

PO Box 144
Asheboro, NC 27204-0144
Phone (336) 625-3354

Other identifiers

Identifier	Type	State	Issuer
3406949	Medicaid	NC

Other names

Ash-Rand Rescue Squad Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 20, 2011.

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316476800000",
    "number": "1386635993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272040144",
            "telephone_number": "336-625-3354",
            "fax_number": "336-625-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S COX ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272036463",
            "telephone_number": "336-625-3354",
            "fax_number": "336-625-3354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASH-RAND RESCUE SQUAD AND EMERGENCY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2011-09-20",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-625-3354",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406949",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ash-Rand Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Asheboro, NC

All providers in Asheboro, NC · Ambulance in North Carolina

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.