Active NPI
Anson Rescue Squad Inc
- Ambulance
- Wadesboro, NC
National Provider Identifier
1801884242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1006
- Legal business name
- ANSON RESCUE SQUAD INC
- Practice address
- 208 E Morgan St
Wadesboro, NC 28170-2223 - Phone
- (704) 694-4090
- Fax
- (704) 694-2781
- NPI assigned
- Oct 10, 2005
- Last updated
- Nov 15, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary T Gentile
- Title
- Authorized Agent
- Phone
- (800) 452-8191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1006 | NC | Primary |
Addresses
Primary practice location
208 E Morgan St
Wadesboro, NC 28170-2223
Mailing address
PO Box 290184
Wethersfield, CT 06129-0184
Phone (800) 452-8191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406691 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111202000574 | NC | Part B Supplier - Ambulance Service Supplier | 7911172960 | Practice locations: Wadesboro, NC |
National Provider Directory
National Provider DirectoryLocations
208 E Morgan St
Wadesboro, NC 28170
Phone (704) 694-4090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321315200000",
"number": "1801884242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 290184",
"city": "WETHERSFIELD",
"state": "CT",
"postal_code": "061290184",
"telephone_number": "800-452-8191",
"fax_number": "860-721-6362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 E MORGAN ST",
"city": "WADESBORO",
"state": "NC",
"postal_code": "281702223",
"telephone_number": "704-694-4090",
"fax_number": "704-694-2781"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANSON RESCUE SQUAD INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-10",
"last_updated": "2011-11-15",
"status": "A",
"authorized_official_last_name": "GENTILE",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AUTHORIZED AGENT",
"authorized_official_telephone_number": "800-452-8191",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "NC",
"license": "1006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406691",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wadesboro, NC
- Anson Regional Medical Services , Inc
- Anson Regional Medical Services, Inc
- Anson Regional Medical Services, Inc
- Anson Regional Medical Services, Inc
- Anson Regional Medical Services, Inc
- Precious Antonio, NP
- April D Parker (Aprils Billing Service)
- Art of Daily Living, Inc
- Atrium Health Hospitals Inc (Atrium Health Anson)
- Atrium Health Hospitals Inc (Atrium Health Anson)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.