NPIMap

Organization Active NPI

County of Davidson

Doing business as Davidson County Ambulance

  • Land Ambulance
  • Lexington, NC
National Provider Identifier
1205969292
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF DAVIDSON
Doing business as
Davidson County Ambulance
Practice address
913 N Greensboro St
Lexington, NC 27292-2699
Phone
(336) 242-2029
Fax
(336) 243-7578
NPI assigned
Mar 13, 2007
Last updated
Aug 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Christy Everhart Stilwell
Title
Finance Director
Phone
(336) 242-2027

Specialties & licenses 2

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

Addresses

Primary practice location

913 N Greensboro St
Lexington, NC 27292-2699

Mailing address

913 N Greensboro St
Lexington, NC 27292-2699
Phone (336) 242-2029

Other identifiers 4

IdentifierTypeStateIssuer
3406602MedicaidNC
0722POtherBLUE CROSS BLUE SHIELD
590026353OtherRAILROAD MEDICARE
V279AMBOtherPARTNERS

Other names 1

  • Davidson County Ambulance Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100210000742 NC Part B Supplier - Ambulance Service Supplier 8224171426 Practice locations: Lexington, NC

Other NPIs with the same Medicare PAC ID 1

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

  • County of Davidson

    dba Davidson Co Health Dept-Clinical Services

    • State or Local Public Health Clinic/Center
    • Lexington, NC
    • NPI 1366589483

    8224171426

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Davidson Co Emergency Amb6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

913 N Greensboro St
Lexington, NC 27292
Phone (336) 242-2029

935 N Main St
Lexington, NC 27292
Phone (336) 242-2270

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1205969292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 N GREENSBORO ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272922699",
            "telephone_number": "336-242-2029",
            "fax_number": "336-243-7578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 N GREENSBORO ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272922699",
            "telephone_number": "336-242-2029",
            "fax_number": "336-243-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF DAVIDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "STILWELL",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "EVERHART",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "336-242-2027"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406602",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0722P",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590026353",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "V279AMB",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davidson County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Davidson County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2022; 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.