Iredell County Rescue Squad Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

IREDELL COUNTY RESCUE SQUAD INC

Practice address

1902 Wilkesboro Hwy
Statesville, NC 28625-8737

Phone

(704) 872-8192

Fax

(704) 838-0343

NPI assigned

Jun 3, 2006

Last updated

Jul 18, 2012By 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. Donnie Perry

Title

Chief/President

Phone

(704) 872-8192

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1568400273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 781",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286870781",
            "telephone_number": "704-872-8192",
            "fax_number": "704-838-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 WILKESBORO HWY",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286258737",
            "telephone_number": "704-872-8192",
            "fax_number": "704-838-0343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IREDELL COUNTY RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "CHIEF/PRESIDENT",
        "authorized_official_telephone_number": "704-872-8192",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406957",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Iredell Anesthesia Associates P a
• Iredell County DSS
• Iredell County DSS
• Iredell County Group Services, PLLC
• Iredell County Health Department
• Iredell Drug Care Inc. (banner drug co.)
• Iredell Drug Care, Inc (Banner Drug, Co)
• Iredell Head, Neck and Ear Ambulatory Surgery Center, Inc.
• Iredell Mem Hospital Cap Program
• Iredell Memorial Hosp SNF Icf

• Land Ambulance in Statesville, NC
• Providers in Statesville, 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 Jul 18, 2012; 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.