NPIMap

Organization Active NPI

Forsyth County

Doing business as Forsyth County Ambulance

  • Ambulance
  • Winston Salem, NC
National Provider Identifier
1043250350
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
FORSYTH COUNTY
Doing business as
Forsyth County Ambulance
Practice address
911 E 5TH St
Winston Salem, NC 27101-4321
Phone
(336) 703-2770
Fax
(336) 727-8088
NPI assigned
Jun 7, 2006
Last updated
Nov 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Mr. Graham Pervier
Title
County Manager
Phone
(336) 703-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

911 E 5TH St
Winston Salem, NC 27101-4321

Mailing address

911 E 5TH St
Winston Salem, NC 27101-4321
Phone (336) 703-2770

Other identifiers 1

IdentifierTypeStateIssuer
8585MedicaidNC

Other names 1

  • Forsyth County Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091216000118 NC Part B Supplier - Ambulance Service Supplier 0648310052 Practice locations: Kernersville, NC; Clemmons, NC; Winston-Salem, NC; Winston Salem, NC; Walkertown, NC; Pfafftown, NC; Rural Hall, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Forsyth County NC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

911 E 5th St
Winston Salem, NC 27101
Phone (336) 703-2750

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1043250350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 E 5TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014321",
            "telephone_number": "336-703-2770",
            "fax_number": "336-727-8088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 E 5TH ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271014321",
            "telephone_number": "336-703-2770",
            "fax_number": "336-727-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "PERVIER",
        "authorized_official_first_name": "GRAHAM",
        "authorized_official_title_or_position": "COUNTY MANAGER",
        "authorized_official_telephone_number": "336-703-2020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8585",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forsyth County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.