Town of Robersonville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1139 Issued in NC

Legal business name

TOWN OF ROBERSONVILLE

Doing business as

Robersonville Rescue & EMS

Practice address

119 South Main Street
Robersonville, NC 27871

Phone

(252) 795-4117

Fax

(252) 795-7134

NPI assigned

May 4, 2006

Last updated

Mar 24, 2008By 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. John H Pritchard Jr.

Title

Town Manager

Phone

(252) 795-3511

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Robersonville Rescue & EMS Doing business as

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1679521595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230863",
            "telephone_number": "800-814-5339",
            "fax_number": "336-766-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SOUTH MAIN STREET",
            "city": "ROBERSONVILLE",
            "state": "NC",
            "postal_code": "27871",
            "telephone_number": "252-795-4117",
            "fax_number": "252-795-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ROBERSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "PRITCHARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "TOWN MANAGER",
        "authorized_official_telephone_number": "252-795-3511",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406887",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robersonville Rescue & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robersonville Psychosocial Rehabilitation, LLC
• Shadows Community Support Center LLC (Gloria Crandell-Nelson)
• Soaringabovesocietalstandardsinc.
• Spectrum of Martin County, LTD
• Total Renal Care of North Carolina LLC (Robersonville Dialysis)
• Ki-Bong Um, M.D.
• Village Pharmacy Inc
• Delphine Zelaski, P.A.C.

• Land Ambulance in Robersonville, NC
• Providers in Robersonville, 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 Mar 24, 2008; 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.