Organization Active NPI

Orange County Rescue Squad Inc

  • Land Ambulance
  • Hillsborough, NC
National Provider Identifier
1962460709
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1465 Issued in NC
Legal business name
ORANGE COUNTY RESCUE SQUAD INC
Practice address
261 S Churton St
Hillsborough, NC 27278-2506
Phone
(919) 338-2840
Fax
(314) 248-7768
NPI assigned
May 2, 2006
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. Brian Douglas Matthews
Title
Chief/Ceo
Phone
(919) 338-2840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1465 NC Primary

Addresses

Primary practice location

261 S Churton St
Hillsborough, NC 27278-2506

Mailing address

PO Box 863
Lewisville, NC 27023-0863
Phone (800) 814-5339

Other identifiers 1

IdentifierTypeStateIssuer
3406864MedicaidNC

National Provider Directory

National Provider Directory

Locations

261 S Churton St
Hillsborough, NC 27278
Phone (919) 338-2840

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962460709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230863",
            "telephone_number": "800-814-5339",
            "fax_number": "336-766-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 S CHURTON ST",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782506",
            "telephone_number": "919-338-2840",
            "fax_number": "314-248-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COUNTY RESCUE SQUAD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "CHIEF/CEO",
        "authorized_official_telephone_number": "919-338-2840",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406864",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.