Cerro Gordo Volunteer Fire Department and Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CERRO GORDO VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC

Practice address

75 E Railroad St
Cerro Gordo, NC 28430-9700

Phone

(910) 654-3535

Fax

(910) 654-4825

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Malik WashingtonNPI 1316757883

Title

EMS Coordinator

Phone

(910) 207-1305

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Malik Washington

  • Land Ambulance
  • Cerro Gordo, NC
  • NPI 1316757883

  Land Transport

  NPD Authorized official

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1417904277",
    "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": "247-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 E RAILROAD ST",
            "city": "CERRO GORDO",
            "state": "NC",
            "postal_code": "284309700",
            "telephone_number": "910-654-3535",
            "fax_number": "910-654-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERRO GORDO VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "MALIK",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "910-207-1305"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406769",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Lennart Carlson, MD
• Anthony Curiale, PA-C
• G&G Healthcare, PC
• G&G Healthcare, PC Cerro Gordo
• G&G Healthcare,PC Whiteville
• Physician Management Services of North Carolina, LLC

• Land Ambulance in Cerro Gordo, NC
• Providers in Cerro Gordo, 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 2, 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.

Verify at the official NPI Registry.