Tabor City Emergency Services Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

0240087 Issued in NC

Legal business name

TABOR CITY EMERGENCY SERVICES INC.

Practice address

609 E 5TH Street
Tabor City, NC 28463-2203

Phone

(910) 653-2863

Fax

(910) 377-3373

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Lorrie Lancaster

Title

Billing Manager

Phone

(910) 653-2863

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1851340202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 PORTER AVE",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156831141",
            "telephone_number": "724-887-6822",
            "fax_number": "724-887-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 E 5TH STREET",
            "city": "TABOR CITY",
            "state": "NC",
            "postal_code": "284632203",
            "telephone_number": "910-653-2863",
            "fax_number": "910-377-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABOR CITY EMERGENCY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "LORRIE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "910-653-2863"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "0240087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406711",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul A Rhodes, CRNP-C
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• Stephens Outreach Center, Inc
• Brittany Renee Sykes, PHARMD
• Tabor City Family Medical Clinic, PC
• Tabor City Family Medicine Center, Inc.
• Tabor City Medicine Mart, Inc
• Tabor City Medicine Mart, Inc
• The Asbury Homes, Inc.

• Land Ambulance in Tabor City, NC
• Providers in Tabor City, 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 Dec 8, 2022; 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.