Four Oaks Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

FOUR OAKS RESCUE SQUAD

Practice address

105 E Wellons St
Four Oaks, NC 27524

Phone

(919) 963-3935

Fax

(919) 963-3806

NPI assigned

Jun 14, 2006

Last updated

Aug 22, 2020By 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. Tony J Capps

Title

Chief

Phone

(919) 963-3935

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780627992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "275240681",
            "telephone_number": "919-963-3935",
            "fax_number": "919-963-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E WELLONS ST",
            "city": "FOUR OAKS",
            "state": "NC",
            "postal_code": "27524",
            "telephone_number": "919-963-3935",
            "fax_number": "919-963-3806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR OAKS RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAPPS",
        "authorized_official_first_name": "TONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "919-963-3935",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406611",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinton Edwards, PA-C
• Breanna Elizabeth Flaccavento, PA-C
• Joyce Lynn Fountain, RRT
• Four Oaks Assisted Living
• Four Oaks Opco Holdings, LLC (Oak View Commons)
• Ashley Nicole Gaussa, LPC
• Golden Age Therapy PLLC
• Betsy Denise Graham, LPN
• James Hampson, PA-C
• Kristen Leigh Harper

• Land Ambulance in Four Oaks, NC
• Providers in Four Oaks, 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 Aug 22, 2020; 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.