Town of Williamston

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

TOWN OF WILLIAMSTON

Doing business as

Williamston Rescue

Practice address

901 Washington St
Williamston, NC 27892-2651

Phone

(252) 792-3521

Fax

(252) 792-3478

NPI assigned

Jun 4, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Donald Christopher

Title

Administrator

Phone

(252) 792-3521

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Williamston Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013955525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278920602",
            "telephone_number": "252-792-3521",
            "fax_number": "252-792-3478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WASHINGTON ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922651",
            "telephone_number": "252-792-3521",
            "fax_number": "252-792-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF WILLIAMSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTOPHER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "252-792-3521",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406851",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Williamston Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Williamston, NC
• Providers in Williamston, 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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.