CAROLINAS MEDICAL RESPONSE, INC. (NPI# 1508850124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508850124 |
| Entity Type | Organization |
| Organization Name | CAROLINAS MEDICAL RESPONSE, INC. |
| Practice Address |
7683 Sidney Cherry Grove Rd Tabor City NC 28463-8719 |
| Practice Telephone | 9106495830 |
| Practice Fax Number | 9106495833 |
| Mailing Telephone | 9106495830 |
| Mailing Fax Number | 9106495833 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2009-12-14 |
| Authorized Official Name | MR. LLOYD THOMAS BUFFKIN SR. (PRESIDENT) |
| Authorized Official Telephone | 9106495830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146L00000X | Emergency Medical Technician, Paramedic | 128 | SC | Emergency Medical Service Providers |
| Y | 146L00000X | Emergency Medical Technician, Paramedic | 1537 | NC | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | AB0173 | 05 | |
| NC | 3406648 | 05 | |
| NC | BCBS NC PROVIDER ID # | 07219 | 01 |
| Street Address |
7683 SIDNEY CHERRY GROVE RD |
| City | TABOR CITY |
| State | NC |
| Zip Code | 28463-8719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347157 | Mh Medical Services, PC | Nurse Practitioner | 1107 East 5th St., Tabor City, NC 28463 | 2019-10-09 |
| 1962658237 | Generations Family Medicine | Family Medicine | 106 Tabor Crossing, Tabor City, NC 28463 | 2008-08-18 |
| 1942404637 | Coming Together Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5112 Chadbourn Hwy, Chadbourn, NC 28463 | 2007-06-14 |
| 1568509826 | Dameron Drug Store, Inc | Durable Medical Equipment & Medical Supplies | 100 S Main St., Tabor City, NC 28463 | 2007-01-30 |
| 1871560631 | Dameron Drug Store Inc | Durable Medical Equipment & Medical Supplies | 100 S Main St, Tabor City, NC 28463 | 2006-03-01 |
| 1497972996 | Edward Mcclendon IIi | Dentist | 501 Hickman Rd., Tabor City, NC 28463-0536 | 2007-04-19 |
| 1609105592 | Premier Behavioral Services Inc | Community/Behavioral Health | 104 Industrial Park Road, Tabor City, NC 28463-1665 | 2009-12-23 |
| 1467568337 | Twin States Vital Care, Inc. | Durable Medical Equipment & Medical Supplies | 218b S Main St, Tabor City, NC 28463-1904 | 2006-08-22 |
| 1174639041 | Medicine Mart Ltc, LLC | Pharmacy | 214 S Main St, Tabor City, NC 28463-1904 | 2006-08-22 |
| 1912013889 | Tabor City Medicine Mart, Inc | Pharmacy | 220 S Main St, Tabor City, NC 28463-1904 | 2006-08-22 |
| Find all providers in zip 28463 | ||||
| Taxonomy Code | 146L00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Paramedic |
| An EMT, Paramedic is an individual trained and certified to perform advanced life support (ALS) in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760013940 | Pete Alfonso Walker | Emergency Medical Technician, Paramedic | Bldg Rr612 Loop Road, Sneads Ferry, NC 28460 | 2020-01-28 |
| 1851741326 | Yakana Cross | Emergency Medical Technician, Paramedic | 21 Ackland Dr, Greensboro, NC 27455-2787 | 2016-06-15 |
| 1720346745 | John Iakopo Leasiolagi | Emergency Medical Technician, Paramedic | 2d Reconnaissance Bn, 2d Mardiv, Psc Box 20138, Camp Lejeune, NC 28542 | 2012-04-27 |
| 1891091872 | Peter James Oloff | Emergency Medical Technician, Paramedic | 51 Southchase Dr, Fletcher, NC 28732-9265 | 2011-02-08 |
| 1831401876 | Joseph Martin Hayden II | Emergency Medical Technician, Paramedic | 210 Bluebird Ct, Sneads Ferry, NC 28460-6804 | 2010-07-07 |
| 1962734921 | Lee Edward Boujie | Emergency Medical Technician, Paramedic | Building A-71, Sneads Ferry Rd, Camp Lejeune, NC 28445-0138 | 2010-02-02 |
| 1255566378 | Ronald Ray Viramontes Jr. | Emergency Medical Technician, Paramedic | 1 Malvesti Street, Fort Bragg, NC 28310-3430 | 2009-05-19 |
| 1013142231 | Joshua Douglas Stephenson | Emergency Medical Technician, Paramedic | 1 Matero Drive, Pope Field, NC 28308 | 2009-05-18 |
| 1487898961 | Jason Dean Cox | Emergency Medical Technician, Paramedic | Aid Station, Command Surgeon, Fort Bragg, NC 28307-0239 | 2009-04-28 |
| 1952545477 | Heidi Nichole Oberst | Emergency Medical Technician, Paramedic | Malvesti Street Bldg. 3-3046, Jsoc Aid Station, Fort Bragg, NC 28307-0239 | 2009-04-28 |
| Find all providers with the same taxonomy | ||||
| City | TABOR CITY |
| Zip Code | 28463 |
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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.