Eastern Wake EMS Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1215 Issued in NC

Legal business name

EASTERN WAKE EMS INC

Practice address

401 E 3Rd St
Wendell, NC 27591-9745

Phone

(919) 365-1601

Fax

(919) 365-1602

NPI assigned

Oct 28, 2005

Last updated

Sep 11, 2025By 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

Garland Tant

Title

Chief

Phone

(919) 365-1601

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1023008133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230863",
            "telephone_number": "800-814-5339",
            "fax_number": "336-766-1279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 3RD ST",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275919745",
            "telephone_number": "919-365-1601",
            "fax_number": "919-365-1602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN WAKE EMS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-28",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "TANT",
        "authorized_official_first_name": "GARLAND",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "919-365-1601"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1215",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406657",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "07289",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.