South Orange Rescue Squad Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

SOUTH ORANGE RESCUE SQUAD INC

Practice address

202 Roberson St
Carrboro, NC 27510-2350

Phone

(919) 967-1515

NPI assigned

Feb 2, 2023

Last updated

Nov 20, 2023By 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. Matthew Mauzy

Title

Chief

Phone

(919) 967-1515

Specialties & licenses 1

Addresses

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": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1891491627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275100128",
            "telephone_number": "919-967-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROBERSON ST",
            "city": "CARRBORO",
            "state": "NC",
            "postal_code": "275102350",
            "telephone_number": "919-967-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ORANGE RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "MAUZY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "919-967-1515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Siu, MSW, LCSW
• David L Smith, MD
• Jamie Stein Smolko, PMHNP-BC
• Carolyn Beth Snock, RD, LDN, CNSC
• Sally Soliman, AGACNP
• Brenda Lee Spach, FNP
• Kenneth Spores, PT
• Natasha C Springer
• Alison Orell Stackpole, M.S., CCC-SLP
• Hannah Steen, MS CF SLP

• Ambulance in Carrboro, NC
• Providers in Carrboro, NC by specialty
• Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.