Organization Active NPI

Gaston County

  • Land Ambulance
  • Gastonia, NC
National Provider Identifier
1932258506
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0360683 Issued in NC
Legal business name
GASTON COUNTY
Practice address
615 N Highland St
Gastonia, NC 28052-2179
Phone
(704) 866-3271
Fax
(704) 866-3203
NPI assigned
Jan 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark Lamphiear
Title
Director
Phone
(704) 866-3202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0360683 NC Primary

Addresses

Primary practice location

615 N Highland St
Gastonia, NC 28052-2179

Mailing address

PO Box 1475
Gastonia, NC 28053-1475
Phone (704) 866-3202

Other identifiers 2

IdentifierTypeStateIssuer
3406817MedicaidNC
07230OtherNCBCBS ID NUMBER

Other names 1

  • Gaston Co Med Transport Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090513000193 NC Part B Supplier - Ambulance Service Supplier 1456257831 Practice locations: Belmont, NC; Stanley, NC; Mt Holly, NC; Kings Mountain, NC; Gastonia, NC; Cherryville, NC; Bessemer City, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2272146Gaston County Emergency Medical Services615 N Highland St, Gastonia, NC 28052Certificate of waiverNov 14, 2026

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2300 South Point Rd
Belmont, NC 28012
Phone (704) 825-3166

215 E Virginia Ave
Bessemer City, NC 28016
Phone (704) 629-5353

116 S Mountain St
Cherryville, NC 28021
Phone (704) 435-9302

4060 Union Rd
Gastonia, NC 28056
Phone (704) 865-2611

615 N Highland St
Gastonia, NC 28052
Phone (704) 866-3108

106 Spruce St
Kings Mountain, NC 28086
Phone (704) 865-2611

1124 S Main St
Mt Holly, NC 28120
Phone (704) 822-1660

14124 Lucia Riverbend Hwy
Mt Holly, NC 28120
Phone (704) 827-5206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932258506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280531475",
            "telephone_number": "704-866-3202",
            "fax_number": "704-866-3203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 N HIGHLAND ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280522179",
            "telephone_number": "704-866-3271",
            "fax_number": "704-866-3203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LAMPHIEAR",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-866-3202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "0360683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406817",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "07230",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gaston Co Med Transport",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.