Tar Heel Volunteer Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TAR HEEL VOLUNTEER RESCUE SQUAD

Doing business as

Tar Heel Rescue Squad

Practice address

14871 NC Highway 87 E
Tar Heel, NC 28392-0420

Phone

(910) 862-4314

Fax

(910) 862-4314

NPI assigned

Jul 3, 2006

Last updated

Apr 19, 2011By 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. Gladwin L Priest Jr.

Title

Chief

Phone

(910) 862-7613

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tar Heel Rescue Squad Doing business as

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303171200000",
    "number": "1710916499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 420",
            "city": "TAR HEEL",
            "state": "NC",
            "postal_code": "283920420",
            "telephone_number": "910-862-7613",
            "fax_number": "910-862-7613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14871 NC HIGHWAY 87 E",
            "city": "TAR HEEL",
            "state": "NC",
            "postal_code": "283920420",
            "telephone_number": "910-862-4314",
            "fax_number": "910-862-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAR HEEL VOLUNTEER RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-04-19",
        "status": "A",
        "authorized_official_last_name": "PRIEST",
        "authorized_official_first_name": "GLADWIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "910-862-7613",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406771",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tar Heel Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Premise Health of North Carolina Medical, P.C
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• Alicia Romero
• Anna Leigh Seuser, PA-C
• Michael A Smith, M.D.
• Tri County Community Health Council Inc
• Tri County Community Health Council Inc

• Land Ambulance in Tar Heel, NC
• Providers in Tar Heel, 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 Apr 19, 2011; 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.