NPIMap

Organization Active NPI

Eastern Band of Cherokee Indians

Doing business as Cherokee Tribal EMS

  • Ambulance
  • Cherokee, NC
National Provider Identifier
1134179161
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
EASTERN BAND OF CHEROKEE INDIANS
Doing business as
Cherokee Tribal EMS
Practice address
969 Acquoni Road
Cherokee, NC 28719
Phone
(828) 497-1085
Fax
(828) 497-9554
NPI assigned
May 11, 2006
Last updated
Oct 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Cory Matthew Blankenship
Title
Secretary of Treasury
Phone
(828) 359-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary
Land Ambulance 3416L0300X 1206 NC

Addresses

Primary practice location

969 Acquoni Road
Cherokee, NC 28719

Mailing address

PO Box 63303
Charlotte, NC 28263-3303
Phone (855) 626-9660

Other identifiers 2

IdentifierTypeStateIssuer
3406821MedicaidNC
0123KOtherNCBCBS NC

Other names 1

  • Cherokee Tribal EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061024000290 NC Part B Supplier - Ambulance Service Supplier 1052216447 Practice locations: Cherokee, NC

Other NPIs with the same Medicare PAC ID 2

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

National Provider Directory

National Provider Directory
Tax ID family
Cherokee Choices4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Member organizations 1

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

Locations

969 Acquoni Rd
Cherokee, NC 28719
Phone (828) 497-1085

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cherokee Home HealthCherokee, NC, CCN 347101 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jan 21, 1980

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1134179161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63303",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633303",
            "telephone_number": "855-626-9660",
            "fax_number": "937-291-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 ACQUONI ROAD",
            "city": "CHEROKEE",
            "state": "NC",
            "postal_code": "28719",
            "telephone_number": "828-497-1085",
            "fax_number": "828-497-9554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN BAND OF CHEROKEE INDIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "SECRETARY OF TREASURY",
        "authorized_official_telephone_number": "828-359-6000"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1206",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406821",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0123K",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cherokee Tribal EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cherokee Tribal EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cherokee, NC

Sources for this page

Verify at the official NPI Registry.