Elkin Emergency Rescue Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ELKIN EMERGENCY RESCUE SQUAD, INC.

Doing business as

Elkin Emergency Rescue Squad

Practice address

940 N Bridge St
Elkin, NC 28621-2404

Phone

(336) 835-4101

Fax

(336) 946-1768

NPI assigned

Feb 13, 2024

Last updated

Feb 19, 2024By 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. Michael Ray Bovender

Title

Chief

Phone

(336) 835-4101

Specialties & licenses 1

Addresses

Other names 1

• ELKIN EMERGENCY RESCUE SQUAD 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": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1750145462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212404",
            "telephone_number": "336-835-4101",
            "fax_number": "336-946-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 N BRIDGE ST",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212404",
            "telephone_number": "336-835-4101",
            "fax_number": "336-946-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELKIN EMERGENCY RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A",
        "authorized_official_last_name": "BOVENDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "336-835-4101",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELKIN EMERGENCY RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Eidson
• Elk Pharmacy Inc (Elk Pharmacy)
• Elkin City Schools
• Elkin Dialysis Center of Wake Forest University (Elkin Dialysis Center)
• Elkin Emergency Physicians, PLLC
• Elkin Obstetrics and Gynecology, PLLC
• Elkin Pediatric & Adult Medicine, PA
• Elkin Retirement Community, LLC
• Stephen Eric Erlandson, MD
• Charlotte Ann Evans, MD

• Land Ambulance in Elkin, NC
• Providers in Elkin, 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 Feb 19, 2024; 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.