Carolina Ambulance Specialty Transport, Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CAROLINA AMBULANCE SPECIALTY TRANSPORT, INC.

Practice address

130 Paul Ed Dail Rd
Kenansville, NC 28349-8512

Phone

(910) 210-0400

Fax

(910) 338-0303

NPI assigned

Mar 13, 2017

Last updated

Aug 2, 2021By 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

Steven Marten Conrad

Title

Ceo

Phone

(910) 210-0400

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1489363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1134660970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "RICHLANDS",
            "state": "NC",
            "postal_code": "285740524",
            "telephone_number": "910-210-0400",
            "fax_number": "910-338-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 PAUL ED DAIL RD",
            "city": "KENANSVILLE",
            "state": "NC",
            "postal_code": "283498512",
            "telephone_number": "910-210-0400",
            "fax_number": "910-338-0303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA AMBULANCE SPECIALTY TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-13",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "CONRAD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MARTEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-210-0400"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ivey Blair, MD PHD
• Amos Quinn Brinson Jr., RPH
• Carie M Brown, FNP-C
• Benjamin Lloyd Byerly, DO
• Felice Noel Carlton, DNP, RN, FNP-C
• Carolina Coast Primary Medicine
• Carolina East Home Care & Hospice
• Carolina East Home Care & Hospice Inc
• Carolina East Home Care & Hospice Inc
• Carolina East Home Care & Hospice, Inc

• Ambulance in Kenansville, NC
• Providers in Kenansville, NC by specialty
• Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.