NPIMap

Organization Active NPI

Carolinas Union Healthcare, Inc

Doing business as Union EMS

  • Land Ambulance
  • Monroe, NC
National Provider Identifier
1104913326
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1209 Issued in NC
Legal business name
CAROLINAS UNION HEALTHCARE, INC
Doing business as
Union EMS
Practice address
1403 Dove St
Monroe, NC 28112-5014
Phone
(704) 226-2001
Fax
(704) 226-2000
NPI assigned
Oct 9, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. John W Roberts
Title
Ceo
Phone
(704) 296-4057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1209 NC Primary

Addresses

Primary practice location

1403 Dove St
Monroe, NC 28112-5014

Mailing address

PO Box 633
Monroe, NC 28111-0633
Phone (704) 226-2001

Other identifiers 2

IdentifierTypeStateIssuer
3406853MedicaidNC
AB0179OtherSCSC MEDICAID

Other names 1

  • Union EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100302000774 NC Part B Supplier - Ambulance Service Supplier 0648208215 Practice locations: Monroe, NC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 6

Organizations listed as members of this organization in the National Provider Directory.

Locations

1403 Dove St
Monroe, NC 28112
Phone (704) 226-2001

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104913326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 633",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281110633",
            "telephone_number": "704-226-2001",
            "fax_number": "704-226-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 DOVE ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281125014",
            "telephone_number": "704-226-2001",
            "fax_number": "704-226-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINAS UNION HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-296-4057",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406853",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAID",
            "identifier": "AB0179",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, NC

Sources for this page

  • 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.