COLERAIN RESCUE SQUAD INC (NPI# 1649352998) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649352998 |
| Entity Type | Organization |
| Organization Name | COLERAIN RESCUE SQUAD INC |
| Practice Address |
110 Winton St Colerain NC 27924 |
| Mailing Address |
P.o. Box 397 Colerain NC 27924-0397 |
| Practice Telephone | 2523562537 |
| Practice Fax Number | 2529777099 |
| Mailing Telephone | 2523562537 |
| Mailing Fax Number | 2529777099 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2012-10-22 |
| Authorized Official Name | MR. DUNCAN PERRY HUGHES (CAPTAIN) |
| Authorized Official Telephone | 2527242970 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
NC | Transportation Services | |
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1020 | NC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 0729X | 01 |
| NC | 3406895 | 05 |
| Street Address |
110 WINTON ST |
| City | COLERAIN |
| State | NC |
| Zip Code | 27924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861515918 | Barbara Jean Davenport | Lodging | 116 Chowan Shores Drive, Colerain, NC 27924 | 2007-04-06 |
| 1174042907 | Vickie M Persaud | Day Training/Habilitation Specialist | 605 Thomas Nelson Street, Colerain, NC 27924-0134 | 2017-09-13 |
| 1568951986 | Tonya C Freeman | Custodial Care Facility | 404 W River St, Colerain, NC 27924-8879 | 2018-05-02 |
| 1275027294 | The Home Place | Custodial Care Facility | 404 W River St, Colerain, NC 27924-8879 | 2018-06-22 |
| 1649764762 | Tonya Clark Freeman | Custodial Care Facility | 404 W River St, Colerain, NC 27924-8879 | 2018-06-21 |
| 1619523651 | Eathelda Caldwell | Technician | 1008 Perrytown Rd, Colerain, NC 27924-8953 | 2019-08-15 |
| 1790851004 | Roanoke Chowan Community Health Center, Inc | Clinic/Center | 109 W River St, Colerain, NC 27924-9006 | 2006-11-28 |
| 1811400203 | Roanoke Chowan Community Health Center Inc | Pharmacy | 109 W River St, Colerain, NC 27924-9006 | 2017-11-08 |
| 1720518574 | Roanoke Chowan Community Health Center Inc | Pharmacy | 109 W River St, Colerain, NC 27924-9006 | 2017-06-14 |
| 1053680892 | Chrystie Lee Stowe | Nurse Practitioner | 109 W River St, Colerain, NC 27924-9006 | 2011-12-23 |
| Find all providers in zip 27924 | ||||
| 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 |
|---|---|---|---|---|
| 1184625956 | Colerain Volunteer Fire Company | Ambulance | 71601 Colerain Street, Box 3, Colerain, OH 43916 | 2005-08-03 |
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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.