NPIMap

Organization Active NPI

Cumberland County EMS

  • Land Ambulance
  • Fayetteville, NC
National Provider Identifier
1043455173
Registry record updated Dec 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1067 Issued in NC
Legal business name
CUMBERLAND COUNTY EMS
Practice address
610 Gillespie Street
Fayetteville, NC 28306-1544
Phone
(910) 609-5600
Fax
(910) 678-7687
NPI assigned
Dec 3, 2008
Last updated
Dec 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2008

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

Authorized official

Name
Mr. Wally Ainsworth
Title
EMS Director
Phone
(910) 609-5618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1067 NC Primary

Addresses

Primary practice location

610 Gillespie Street
Fayetteville, NC 28306-1544

Mailing address

610 Gillespie Street
Fayetteville, NC 28306-1544
Phone (910) 609-5600

Other identifiers 2

IdentifierTypeStateIssuer
3406734MedicaidNC
073ECOtherNCBCBSNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228262400000",
    "number": "1043455173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 GILLESPIE STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061544",
            "telephone_number": "910-609-5600",
            "fax_number": "910-678-7687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 GILLESPIE STREET",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283061544",
            "telephone_number": "910-609-5600",
            "fax_number": "910-678-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND COUNTY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2008-12-03",
        "status": "A",
        "authorized_official_last_name": "AINSWORTH",
        "authorized_official_first_name": "WALLY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "910-609-5618",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406734",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "073EC",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; 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.