Organization Active NPI

Piedmont Triad Ambulance & Rescue Inc

  • Ambulance
  • High Point, NC
National Provider Identifier
1598775751
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1442 Issued in NC
Legal business name
PIEDMONT TRIAD AMBULANCE & RESCUE INC
Practice address
901 S Elm St
High Point, NC 27260
Phone
(336) 887-3411
Fax
(336) 882-5311
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Authorized official

Name
Paula Lineberry
Title
Chief of Operations
Phone
(336) 887-3411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1442 NC Primary

Addresses

Primary practice location

901 S Elm St
High Point, NC 27260

Mailing address

PO Box 534
901 S Elm St
High Point, NC 27261
Phone (336) 887-3411

Other identifiers 1

IdentifierTypeStateIssuer
3406765MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100927001399 NC Part B Supplier - Ambulance Service Supplier 1052437019 Practice locations: High Point, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D0881337Piedmont Triad Ambulance & Rescue Inc901 S Elm St, High Point, NC 27260Certificate of waiverJan 6, 2028

National Provider Directory

National Provider Directory

Locations

1422 S Main St
High Point, NC 27260
Phone (336) 887-3411

901 S Elm St
High Point, NC 27260
Phone (336) 887-3411

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285804800000",
    "number": "1598775751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 534",
            "address_2": "901 S ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27261",
            "telephone_number": "336-887-3411",
            "fax_number": "336-882-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S ELM ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "27260",
            "telephone_number": "336-887-3411",
            "fax_number": "336-882-5311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIEDMONT TRIAD AMBULANCE & RESCUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2010-09-30",
        "status": "A",
        "authorized_official_last_name": "LINEBERRY",
        "authorized_official_first_name": "PAULA",
        "authorized_official_title_or_position": "CHIEF OF OPERATIONS",
        "authorized_official_telephone_number": "336-887-3411"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406765",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.