CCMT, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1633 Issued in NC

Legal business name

CCMT, INC

Doing business as

Crystal Coast Medical Transport

Practice address

204 Graham Rd
Newport, NC 28570-4111

Phone

(252) 808-5555

NPI assigned

Dec 19, 2007

Last updated

Mar 2, 2010By 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

Mrs. Jaime Leonard Smith

Title

President

Phone

(252) 808-5555

Specialties & licenses 1

Addresses

Other names 1

• CRYSTAL COAST MEDICAL TRANSPORT Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1063696508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 GRAHAM RD",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285704111",
            "telephone_number": "252-808-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 GRAHAM RD",
            "city": "NEWPORT",
            "state": "NC",
            "postal_code": "285704111",
            "telephone_number": "252-808-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CCMT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-808-5555",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CRYSTAL COAST MEDICAL TRANSPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richard Alan Bloomfield, M.D.
• Michael P Bobolia
• Debra Powell Borchers, BSN, IBCLC
• Britthaven, Inc. (Britthaven of Newport)
• Broad and Gales Creek Rescue Squad
• CCMT, Inc
• Amy Sue Charlesworth, M.D.
• Suzanne Choynake, LPC
• Coastal Community Action, Inc
• Coastal Community Action, Inc.

• Land Ambulance in Newport, NC
• Providers in Newport, 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 Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.