Organization Active NPI

Wilsons Ambulance Service and Support Wass

  • Ambulance
  • Roxboro, NC
National Provider Identifier
1194971572
Registry record updated Aug 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1048728 Issued in NC
Legal business name
WILSONS AMBULANCE SERVICE AND SUPPORT WASS
Practice address
471 Parham Rd
Roxboro, NC 27574-8276
Phone
(336) 599-5303
Fax
(336) 599-5303
NPI assigned
Aug 17, 2008
Last updated
Aug 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2008

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

Authorized official

Name
Mr. Ryan Kelly Wilson
Title
Co-Owner
Phone
(336) 504-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1048728 NC Primary

Addresses

Primary practice location

471 Parham Rd
Roxboro, NC 27574-8276

Mailing address

471 Parham Rd
Roxboro, NC 27574-8276
Phone (336) 599-5303

National Provider Directory

National Provider Directory

Locations

1123 N Main St
Roxboro, NC 27573
Phone (336) 597-2062

NPI Registry JSON

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

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218931200000",
    "number": "1194971572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 PARHAM RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275748276",
            "telephone_number": "336-599-5303",
            "fax_number": "336-599-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 PARHAM RD",
            "city": "ROXBORO",
            "state": "NC",
            "postal_code": "275748276",
            "telephone_number": "336-599-5303",
            "fax_number": "336-599-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSONS AMBULANCE SERVICE AND SUPPORT WASS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-17",
        "last_updated": "2008-08-17",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "336-504-7707",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1048728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roxboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.