Elkin Emergency Rescue Squad, Inc.
Organization Active NPI Land Ambulance · Elkin, NC
NPI 1750145462 · NPPES record last updated Feb 19, 2024
Key facts
- NPI
- 1750145462
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- ELKIN EMERGENCY RESCUE SQUAD, INC.
- Practice address
- 940 N Bridge St
Elkin, NC 28621-2404 - Phone
- (336) 835-4101
- Fax
- (336) 946-1768
- NPI assigned
- Feb 13, 2024
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Ray Bovender
- Title
- Chief
- Phone
- (336) 835-4101
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240419001476 | NC | Part B Supplier - Ambulance Service Supplier | 8022457340 | Practice locations: Elkin, NC |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
940 N Bridge St
Elkin, NC 28621-2404
Mailing address
940 N Bridge St
Elkin, NC 28621-2404
Phone (336) 835-4101
Other names
- ELKIN EMERGENCY RESCUE SQUAD
Other providers in Elkin, NC
- Elizabeth Eidson
- Elk Pharmacy Inc
- Elkin City Schools
- Elkin Dialysis Center of Wake Forest University
- Elkin Emergency Physicians, PLLC
- Elkin Obstetrics and Gynecology, PLLC
- Elkin Pediatric & Adult Medicine, PA
- Elkin Retirement Community, LLC
- Stephen Eric Erlandson
- Charlotte Ann Evans
All providers in Elkin, NC · Land Ambulance in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.