CORDOVA FIRE RESCUE (NPI# 1245763960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245763960 |
| Entity Type | Organization |
| Organization Name | CORDOVA FIRE RESCUE |
| Practice Address |
108 Seventh Street Cordova NC 28330-8900 |
| Mailing Address |
Po Box 146 Cordova NC 28330-0146 |
| Practice Telephone | 9108959713 |
| Mailing Telephone | 9108959713 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | JEREMY RYAN CHANCE (DEPUTY CHIEF) |
| Authorized Official Telephone | 9108959713 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1617 | NC | Transportation Services |
| Street Address |
108 SEVENTH STREET |
| City | CORDOVA |
| State | NC |
| Zip Code | 28330-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780621029 | Carolina Medicine, P.C. | Family Medicine | 310 Court Square, Sanford, NC 28330-5657 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355390 | Delia M. Reyes | Nurse Practitioner | 705 2nd St., Cordova, AK 99574 | 2020-10-29 |
| 1376143289 | Rachel Slovsky | Behavior Technician | 8350 Walnut Grove Rd, Cordova, TN 38018-7392 | 2020-10-29 |
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1437757960 | Stephanie Cook | Nurse Practitioner | 8532 Wood Mills Dr W, Cordova, TN 38016-6169 | 2020-10-16 |
| 1922606953 | Latonya Rochelle Addison | Licensed Practical Nurse | 8855 N Cortona Cir, Cordova, TN 38018-6978 | 2020-10-12 |
| 1144836404 | Walter J. Green | Counselor | 1120 Mossy Knoll Dr, Cordova, TN 38018-6671 | 2020-09-21 |
| 1548876303 | Kimberly Hearon | Registered Nurse | 6890 Lagrange Grove Dr, Cordova, TN 38018-2875 | 2020-09-17 |
| 1215543251 | Kenyatta Pugh | Home Health Aide | 1176 Vickery Ln Ste 200, Cordova, TN 38016-0631 | 2020-09-16 |
| 1063027043 | Marisa Cozine | Speech-Language Pathologist | 7837 Elmington Dr Apt 208, Cordova, TN 38018-2237 | 2020-09-15 |
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| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962679878 | City of Cordova | Ambulance | 602 Railroad Ave, Cordova, AK 99574 | 2008-05-09 |
| 1649785155 | Transport Memphis | Ambulance | 8656 Sunnyvale St S, Cordova, TN 38018-3518 | 2017-12-06 |
| 1659782803 | Omni Medical Transport LLC | Ambulance | 10111 Cameron Ridge Trl, Cordova, TN 38016-7184 | 2014-05-09 |
| 1215035787 | Cordova Community Hospital | Ambulance | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715372 | County of Yancey | Ambulance | 225 Wheeler Hills Rd, Burnsville, NC 28714-8406 | 2020-09-21 |
| 1568088599 | Med Care Ambulance LLC | Ambulance | 7633 Knightdale Blvd Ste 103, Knightdale, NC 27545-9015 | 2020-06-25 |
| 1437770187 | Lifeguard Ambulance Service LLC | Ambulance | 121 Forest Service Dr, Bakersville, NC 28705-7047 | 2020-05-05 |
| 1487286068 | Pro Medical Transport LLC | Ambulance | 16 Wayne Brooks Ln Ste D, Hayesville, NC 28904-9602 | 2020-02-11 |
| 1740811066 | Madison Medics, Lp | Ambulance | 1443 Nc Hwy 213, Marshall, NC 28753 | 2020-01-27 |
| 1588218002 | Ambucare Medical Transport | Ambulance | 7187 County Home Rd, Ayden, NC 28513-8509 | 2019-08-01 |
| 1801451117 | Royal Protection Services | Ambulance | 963a Us Highway 64 E, Plymouth, NC 27962-9216 | 2019-05-02 |
| 1508329145 | Polk County Rescue Squad | Ambulance | 133 Walker St, Columbus, NC 28722 | 2019-04-10 |
| 1447763750 | Town of Emerald Isle | Ambulance | 7604 Emerald Dr, Emerald Isle, NC 28594-2919 | 2017-11-08 |
| 1811427156 | Town of Leland | Ambulance | 1004 Village Rd, Leland, NC 28451 | 2017-06-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.