Roanoke Medical Transport Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0581264 Issued in NC

Legal business name

ROANOKE MEDICAL TRANSPORT INC

Practice address

322 S McCaskey Rd
Williamston, NC 27892-2150

Phone

(252) 789-4950

NPI assigned

Mar 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Vicki H Leggett

Title

Owner

Phone

(252) 789-4950

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721606400000",
    "number": "1801925680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "address_2": "415 EAST BLVD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921005",
            "telephone_number": "252-789-4950",
            "fax_number": "252-792-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S MCCASKEY RD",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922150",
            "telephone_number": "252-789-4950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 East Blvd",
            "address_purpose": "LOCATION",
            "city": "Williamston",
            "state": "NC",
            "postal_code": "278922731",
            "country_code": "US",
            "telephone_number": "252-789-4950",
            "fax_number": "252-792-0993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROANOKE MEDICAL TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A",
        "authorized_official_last_name": "LEGGETT",
        "authorized_official_first_name": "VICKI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-789-4950",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "0581264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406816",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "073CA",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fredericka Danielle Rhodes-Godard
• Denise Marie Richardson, DPM
• Riverside Emergency Physicians, LLP
• Rivertown Transpotation Inc
• Roanoke Medical Associates, PA
• Roanoke Therapeutic Services Inc
• Roanoke Therapy Services
• Roanoke Therapy Services
• Kathryn Davis Roberson Wynne, PTA
• Robert C Mills Jr OD PA

• Land Ambulance in Williamston, NC
• Providers in Williamston, 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 Jul 22, 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.