County of Gates

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1104 Issued in NC

Legal business name

COUNTY OF GATES

Doing business as

Gates County Rescue Squad

Practice address

16 US Highway 158 E
Gatesville, NC 27938-9441

Phone

(252) 357-0388

NPI assigned

Jul 31, 2015

Last updated

Dec 5, 2022By 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

Stormy T Butts

Title

Chief

Phone

(252) 357-0388

Specialties & licenses 2

Addresses

Other names 2

• GATES COUNTY RESCUE SQUAD Doing business as
• GATES COUNTY EMS Other 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": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1528444643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 148",
            "address_2": "200 COURT STREET",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279380148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 US HIGHWAY 158 E",
            "city": "GATESVILLE",
            "state": "NC",
            "postal_code": "279389441",
            "telephone_number": "252-357-0388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Court Street",
            "address_purpose": "LOCATION",
            "city": "Gatesville",
            "state": "NC",
            "postal_code": "27938",
            "country_code": "US",
            "telephone_number": "252-357-2411",
            "fax_number": "252-357-0073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF GATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "BUTTS",
        "authorized_official_first_name": "STORMY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "252-357-0388"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATES COUNTY RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GATES COUNTY EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Julia Blackwell, CRNP
• James Wayne Blanton, PAC
• Rhonda S Brown
• Carolinas Home Care Inc
• Coastal Rehabilitation Inc
• Daughters of Zion Restoration Therapy Inc
• Down East Healthcare LLC (Down East Health and Rehabilitation Center)
• Down East Living & Rehab Center, LLC
• Down East Living & Rehab Center, LLC (Gates Health and Rehabilitation Center)
• East Carolina Health - Chowan Inc (Chowan Hospital Home Care)

• Land Ambulance in Gatesville, NC
• Providers in Gatesville, 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 5, 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.