AMBUCARE MEDICAL TRANSPORT (NPI# 1588218002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588218002 |
| Entity Type | Organization |
| Organization Name | AMBUCARE MEDICAL TRANSPORT |
| Practice Address |
7187 County Home Rd Ayden NC 28513-8509 |
| Practice Telephone | 2522538147 |
| Mailing Telephone | 2522538147 |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2019-08-01 |
| Authorized Official Name | LAQUON ROGERS (MANAGER) |
| Authorized Official Telephone | 2522538147 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | AmbuCare Medical Transport Inc. | 7187 County Home Road, Ayden, NC 28513 |
| Street Address |
7187 COUNTY HOME RD |
| City | AYDEN |
| State | NC |
| Zip Code | 28513-8509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871075424 | Mariah Vanstaalduinen | Occupational Therapist | 128 Snowhill Rd, Ayden, NC 28513 | 2018-08-30 |
| 1043682735 | Michael Micelli | Pharmacist | 182 Nc 102 East, Ayden, NC 28513 | 2015-10-21 |
| 1356679302 | Leigh Ann Teal | Pharmacist | 140 Nc Hwy 102 East, Ayden, NC 28513 | 2009-12-03 |
| 1932370699 | Richard Frazier | Family Medicine | 182 Gumberry Rd, Ayden, NC 28513 | 2008-03-20 |
| 1376712836 | Ronald D Bancroft | Counselor | 417 A First Street, Ayden, NC 28513 | 2008-02-28 |
| 1104040815 | Edith L Smith | Occupational Therapist | 642 E 2nd Street, Ayden, NC 28513 | 2007-04-12 |
| 1376653071 | Kerr Drug Inc | Pharmacy | 140 Nc Hwy 102 West, Ayden, NC 28513 | 2006-08-30 |
| 1548221039 | Tracey Walston Bowen | Internal Medicine | 137 Third Street, Ayden, NC 28513 | 2006-04-01 |
| 1760703631 | Richard Garrett Roach | Pharmacist | 140 Nc Hwy 102 West, Kerr Drug #500, Ayden, NC 28513 | 2010-06-15 |
| 1346458916 | Stephen Chambers | Social Worker | 175 Philpot Lane, Beaver, WV 28513 | 2007-05-18 |
| Find all providers in zip 28513 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| 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.