PEMBROKE RESCUE SQUAD (NPI# 1386634855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386634855 |
| Entity Type | Organization |
| Organization Name | PEMBROKE RESCUE SQUAD |
| Practice Address |
210 Union Chapel Road Pembroke NC 28372-9620 |
| Mailing Address |
Po Box 290184 Wethersfield CT 06129-0184 |
| Practice Telephone | 9105212742 |
| Mailing Telephone | 8602579201 |
| Mailing Fax Number | 8607216362 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MARY T GENTILE (AUTHORIZED AGENT) |
| Authorized Official Telephone | 8602579201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | 1192 | NC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406984 | 05 |
| Street Address |
210 UNION CHAPEL ROAD |
| City | PEMBROKE |
| State | NC |
| Zip Code | 28372-9620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962977 | Kayla J Oxendine | Counselor | 86 Threehunts Drive, Pembroke, NC 28372 | 2020-11-03 |
| 1720688401 | Melissa Claire Kratz | Pharmacist | 930 Hwy 711 East, Pembroke, NC 28372 | 2020-10-30 |
| 1841775681 | Nikki Locklear | Counselor | 86 Three Hunts Dr., Pembroke, NC 28372 | 2018-09-27 |
| 1043703218 | Julie Anne Harrison-swartz | Nurse Practitioner | Uncp Student Health, 113 Hawk Drive, Pembroke, NC 28372 | 2018-06-12 |
| 1134627508 | William Dixon | Specialist/Technologist | One University Drive, Pembroke, NC 28372 | 2018-01-31 |
| 1740796291 | A Primary Choice, Inc. | In Home Supportive Care | 208 Union Chapel Road, Suite D, Pembroke, NC 28372 | 2017-12-20 |
| 1578924130 | William Joshua Johnson | Nurse Practitioner | 3334 Moss Neck Road, Pembroke, NC 28372 | 2016-03-10 |
| 1831560234 | Sungjun Jung | Pharmacist | 930 Nc Hwy 711 E, Pembroke, NC 28372 | 2015-10-12 |
| 1154715027 | Lilly Marie Shorter | Counselor | 86 Three Hunt Drive, Pembroke, NC 28372 | 2015-03-27 |
| 1487046728 | Eye Heart You Home Health, LLC | Public Health or Welfare | 925 University Road, Pembroke, NC 28372 | 2015-02-24 |
| Find all providers in zip 28372 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| 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). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386108710 | Great Brook Emergency Medical Services LLC | Ambulance | 340 Commerce Way, Pembroke, NH 03275 | 2019-01-30 |
| 1548506843 | Town of Pembroke | Ambulance | 247 Pembroke St, Pembroke, NH 03275-1359 | 2012-12-14 |
| 1518049907 | Town of Pembroke | Ambulance | 172 Center St., Pembroke, MA 02359-0697 | 2006-10-19 |
| 1992793343 | Tri Town Volunteer Emergency Ambulance Service Inc | Ambulance | 17 Central St, Pembroke, NH 03275-1502 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104457001 | Rural Carolina Ambulance Service, LLC | Ambulance | 310 W 17th St, Scotland Neck, NC 27874-1402 | 2020-01-29 |
| 1013553254 | Vector Aeromedical Services, LLC | Ambulance | 1750 E International Dr, Morrisville, NC 27560-7689 | 2019-11-22 |
| 1245875806 | Willem, LLC | Ambulance | 119 Railroad St N, Ahoskie, NC 27910-3040 | 2019-11-07 |
| 1225686512 | Blue Orchid Medical Transit LLC | Ambulance | 3405 Mogollon Ct, Raleigh, NC 27610-6467 | 2019-08-29 |
| 1467014779 | Metz Medical Transport, Inc. | Ambulance | 2551 N Church St, Rocky Mount, NC 27804-2035 | 2019-07-08 |
| 1811461585 | Mh Mission Hospital, Lllp | Ambulance | 1143 Nc Highway 213, Marshall, NC 28753 | 2019-01-16 |
| 1154895894 | Mh Mission Hospital, Lllp | Ambulance | 225 Wheeler Hill Rd., Burnsville, NC 28714 | 2019-01-16 |
| 1538619911 | Eastside Ems, Inc | Ambulance | 308 West Jackson Street, Rich Square, NC 27869 | 2016-10-10 |
| 1700236676 | Phase II Transportation Inc | Ambulance | 109 S Mccoy Rd, Salisbury, NC 28144 | 2016-06-21 |
| 1255780136 | County of Beaufort | Ambulance | 1420 Highland Drive, Washington, NC 27889 | 2016-06-10 |
| Find all providers with the same taxonomy | ||||
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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.