Albemarle Medical Transport Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ALBEMARLE MEDICAL TRANSPORT INC.

Practice address

417 S Hughes Blvd
Elizabeth City, NC 27909-4526

Phone

(252) 339-1922

NPI assigned

Jan 11, 2024

Last updated

Jul 8, 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. Brent Jamison McKecuenNPI 1285416206

Title

President

Phone

(252) 339-1922

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brent Jamison McKecuen

  • Land Ambulance
  • Elizabeth City, NC
  • NPI 1285416206

  Land Transport

  NPD Authorized official

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

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1184495822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 S HUGHES BLVD",
            "city": "ELIZABETH CTY",
            "state": "NC",
            "postal_code": "279094526",
            "telephone_number": "252-339-1922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 S HUGHES BLVD",
            "city": "ELIZABETH CITY",
            "state": "NC",
            "postal_code": "279094526",
            "telephone_number": "252-339-1922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Dances Bay Rd",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279099172",
            "country_code": "US",
            "telephone_number": "252-339-1922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALBEMARLE MEDICAL TRANSPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A",
        "authorized_official_last_name": "MCKECUEN",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "JAMISON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-339-1922",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albemarle Hospital Authority
• Albemarle Hospital Authority (Albemarle Hospital Professional Staff)
• Albemarle Hospital Foundation (Rural Telemedicine)
• Albemarle Medical Associates PLLC
• Albemarle Medical Specialist,LLC
• Albemarle Mental Health Center
• Albemarle Mental Health Center
• Albemarle Mental Health Center
• Albemarle Mental Health Center
• Albemarle Mental Health Center

• Land Ambulance in Elizabeth City, NC
• Providers in Elizabeth City, 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 Jul 8, 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.