Carolinas Medical Response, Inc.

Primary specialty

ParamedicTaxonomy code 146L00000X

License

1537 Issued in NC

Legal business name

CAROLINAS MEDICAL RESPONSE, INC.

Practice address

7683 Sidney Cherry Grove Rd
Tabor City, NC 28463-8719

Phone

(910) 649-5830

Fax

(910) 649-5833

NPI assigned

Sep 9, 2005

Last updated

Dec 14, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Lloyd Thomas Buffkin Sr.

Title

President

Phone

(910) 649-5830

Specialties & licenses 2

Addresses

Other identifiers 3

Locations

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260748800000",
    "number": "1508850124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7683 SIDNEY CHERRY GROVE RD",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284638719",
            "telephone_number": "910-649-5830",
            "fax_number": "910-649-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7683 SIDNEY CHERRY GROVE RD",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284638719",
            "telephone_number": "910-649-5830",
            "fax_number": "910-649-5833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS MEDICAL RESPONSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-09",
        "last_updated": "2009-12-14",
        "status": "A",
        "authorized_official_last_name": "BUFFKIN",
        "authorized_official_first_name": "LLOYD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-649-5830",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "SC",
            "license": "128",
            "primary": false
        },
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NC",
            "license": "1537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC PROVIDER ID #",
            "identifier": "07219",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406648",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AB0173",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Paramedic in Tabor City, NC
• Providers in Tabor City, NC by specialty
• Paramedic in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2009; 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.