Boiling Springs Life Saving & Rescue Unit, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1053 Issued in NC

Legal business name

BOILING SPRINGS LIFE SAVING & RESCUE UNIT, INC.

Doing business as

Boiling Springs Rescue, Inc.

Practice address

650 McBrayer Homestead Rd
Shelby, NC 28152

Phone

(704) 692-9540

Fax

(704) 434-9456

NPI assigned

Jan 30, 2007

Last updated

May 27, 2008By 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. David Wayne Blanton

Title

EMS Director

Phone

(704) 692-9540

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BOILING SPRINGS RESCUE, INC. Doing business as

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1932246006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 MCBRAYER HOMESTEAD RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28152",
            "telephone_number": "704-692-9540",
            "fax_number": "704-434-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 MCBRAYER HOMESTEAD RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28152",
            "telephone_number": "704-692-9540",
            "fax_number": "704-434-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOILING SPRINGS LIFE SAVING & RESCUE UNIT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "BLANTON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "704-692-9540",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "073C5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406925",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOILING SPRINGS RESCUE, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Blue Peak Life Recovery LLC
• Jiselle Marie Bock, MD
• Stephen J Bogan, M.D.
• Cynthia Fay Bohacek, FNP
• Diane Watson Boicourt, APRN FNP-BC
• Boiling Springs Pediatric & Family Medicine
• James John Bombenger, MD
• Jessi Bonacci, BSN, RN, IBCLC
• Joseph Bonacci, M.S., L.AC.
• Elizabeth Kathleen Wilson Borders, MD

• Land Ambulance in Shelby, NC
• Providers in Shelby, 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 May 27, 2008; 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.