Herbert Steven Pridgen

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1253 Issued in NC

Legal business name

HERBERT STEVEN PRIDGEN

Practice address

705 Grants Creek Rd
Jacksonville, NC 28546-9644

Phone

(910) 577-1846

Fax

(910) 577-3429

NPI assigned

Dec 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Patricia Jarman Pridgen, EMT I, CFO

Title

Treasurer

Phone

(910) 577-1846

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COASTAL AMBULANCE SERVICE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1013070382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GRANTS CREEK RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469644",
            "telephone_number": "910-577-1846",
            "fax_number": "910-577-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GRANTS CREEK RD",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469644",
            "telephone_number": "910-577-1846",
            "fax_number": "910-577-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT STEVEN PRIDGEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JARMAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "910-577-1846",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EMT I, CFO"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1253",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406781",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL AMBULANCE SERVICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henry J Pierpan III, DDS, PA
• Henry M Best III DDS PLLC
• Rachel Elizabeth Hensley, RBT
• Justin Mathew Henson
• Danielle Hepbourn
• Alyssa Hermanson, LCSW-A
• Jasmine Hermosillo
• Evelia Marie Hernandez
• Shakira Mashay Hernandez, LPA
• Keidys Herrada

• Land Ambulance in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.