Organization Active NPI

Cavalry Medical Transport,Inc

  • Ambulance
  • Winston Salem, NC
National Provider Identifier
1821091471
Registry record updated Aug 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1561 Issued in NC
Legal business name
CAVALRY MEDICAL TRANSPORT,INC
Doing business as
CAVALRY MEDICAL TRANSPORT
Practice address
1095 Fairchild Rd
Winston Salem, NC 27105-4525
Phone
(336) 725-1031
Fax
(336) 725-9191
NPI assigned
May 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2007

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

Authorized official

Name
Amanda Rogers, VP
Title
VP of Benefits and Receivables
Phone
(336) 725-1031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1561 NC Primary

Addresses

Primary practice location

1095 Fairchild Rd
Winston Salem, NC 27105-4525

Mailing address

1095 Fairchild Rd
Winston Salem, NC 27105-4525
Phone (336) 725-1031

Other identifiers 1

IdentifierTypeStateIssuer
3406842MedicaidNC

Other names 1

  • CAVALRY MEDICAL TRANSPORT Doing business as

National Provider Directory

National Provider Directory

Locations

1095 Fairchild Rd
Winston Salem, NC 27105
Phone (336) 725-1031

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186099200000",
    "number": "1821091471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 FAIRCHILD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271054525",
            "telephone_number": "336-725-1031",
            "fax_number": "336-725-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 FAIRCHILD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271054525",
            "telephone_number": "336-725-1031",
            "fax_number": "336-725-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAVALRY MEDICAL TRANSPORT,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2007-08-03",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "VP OF BENEFITS AND RECEIVABLES",
        "authorized_official_telephone_number": "336-725-1031",
        "authorized_official_credential": "VP"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406842",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CAVALRY MEDICAL TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2007; 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.