PEMBROKE RESCUE SQUAD NPI 1386634855

NPI Information

NPI: 1386634855
Provider Name: PEMBROKE RESCUE SQUAD
Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
210 UNION CHAPEL ROAD
PEMBROKE, NC
ZIP 28372
Phone: (910) 521-2742
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PEMBROKE RESCUE SQUAD is an ambulance in Pembroke, NC. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). PEMBROKE RESCUE SQUAD NPI is 1386634855. The provider is registered as an organization entity type.

The provider's business location address is:

210 UNION CHAPEL ROAD
PEMBROKE, NC
ZIP 28372-620
Phone: (910) 521-2742

The provider's authorized official is Mary T Gentile .
The authorized official title is Authorized Agent and has the following contact phone number (860) 257-9201.

The enumeration date for this NPI number is 10/26/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		1192	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3406984	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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