Dare County Administrative Offices

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

DARE COUNTY ADMINISTRATIVE OFFICES

Doing business as

County of Dare EMS

Practice address

1632 N Croatan Hwy
Kill Devil Hills, NC 27948-9258

Phone

(252) 475-5710

NPI assigned

May 23, 2005

Last updated

Oct 2, 2024By 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

Mr. David Clawson

Title

Finance Director

Phone

(252) 475-5731

Specialties & licenses 3

Addresses

Other identifiers 8

Other names 2

• COUNTY OF DARE EMS Doing business as
• COUNTY OF DARE Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• Dare County Administrative Offices

  dba Dare County Department of Public Health

  • State or Local Public Health Clinic/Center
  • Manteo, NC
  • NPI 1770637381

  9335048834

  Same PAC ID

Tax ID family

Dare Co Health Dept2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Dare County Administrative Offices

  dba Dare County Department of Public Health

  • State or Local Public Health Clinic/Center
  • Manteo, NC
  • NPI 1770637381
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Dare County Administrative Offices

  dba Dare County Department of Public Health

  • State or Local Public Health Clinic/Center
  • Manteo, NC
  • NPI 1770637381
  NPPES parent name

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1144223330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279541000",
            "telephone_number": "252-475-5712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1632 N CROATAN HWY",
            "city": "KILL DEVIL HILLS",
            "state": "NC",
            "postal_code": "279489258",
            "telephone_number": "252-475-5710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "954 Marshall Collins Dr",
            "address_purpose": "LOCATION",
            "city": "Manteo",
            "state": "NC",
            "postal_code": "279548007",
            "country_code": "US",
            "telephone_number": "252-475-5731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARE COUNTY ADMINISTRATIVE OFFICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "CLAWSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "252-475-5731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1002",
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "099460",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST",
            "identifier": "220506",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011307910001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404317100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406787",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "908500900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0225964000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "0723W",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COUNTY OF DARE EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COUNTY OF DARE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "COUNTY OF DARE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Co-Pilot Counseling and Psychological Services, PC
• Melinda Morton Creef, LPCA
• Madison Ray Crumpler
• Christine Damrose-Mahlmann, NCLCMHC, VALPC, NCC
• Kaitlyn Daniels, MA
• Dare Vision Center O.D. P.a.
• Shelley Ann Davis, NC LMBT
• Pam Derolf, R.T.
• Amanda Destefano, BT
• Carol A. Dodson, N.P.

• Land Ambulance in Kill Devil Hills, NC
• Providers in Kill Devil Hills, 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 Oct 2, 2024; 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.