County of Sampson

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF SAMPSON

Doing business as

Sampson County EMS & Rescue

Practice address

530 Commerce St
Clinton, NC 28328-2241

Phone

(910) 592-8996

Fax

(910) 592-5383

NPI assigned

Jun 3, 2006

Last updated

Mar 17, 2023By 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 Clack

Title

Finance Officer

Phone

(910) 592-7181

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sampson County EMS & Rescue Doing business as

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).

• County of Sampson

  dba Sampson County Health Department

  • State or Local Public Health Clinic/Center
  • Clinton, NC
  • NPI 1619036399

  5698755221

  Same PAC ID

Tax ID family

County of Sampson4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• County of Sampson

  dba Sampson County Health Department

  • State or Local Public Health Clinic/Center
  • Clinton, NC
  • NPI 1619036399
  NPD tax ID
• Sampson County Department of Aging

  • Home Health Agency
  • Clinton, NC
  • NPI 1235166505
  NPD tax ID
• Sampson County DSS

  • Case Management Agency
  • Clinton, NC
  • NPI 1316012362
  NPD tax ID

Locations

Practitioners 2

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.

• Sherlene Elane McNallan, FNP-C

  • Nurse Practitioner
  • Clayton, NC
  • NPI 1730530692
  NPD
• Timothy Ted Smith, D.O.

  • Family Medicine Physician
  • Clinton, NC
  • NPI 1225097496
  NPD

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679011200000",
    "number": "1225076813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 COUNTY COMPLEX RD STE 200",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283284847",
            "telephone_number": "910-592-7181",
            "fax_number": "910-592-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 COMMERCE ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282241",
            "telephone_number": "910-592-8996",
            "fax_number": "910-592-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SAMPSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2023-03-17",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "CLACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "910-592-7181",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406958",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sampson County EMS & Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sampson County EMS & Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian C Cook, MD
• Coordinated Health Services
• Coordinated Health Services, Inc.
• Brittney Adore Copeland-Best, LCSW
• County of Sampson (Sampson County Health Department)
• County of Sampson (Sampson County Health Department)
• Samuel Nelson Cowherd, DDS
• Ronald Paul Cox, M.A., LPC, LCAS, SAP
• Alisa Rochelle Craddock, FNP-C
• Margaret Crampton

• Land Ambulance in Clinton, NC
• Providers in Clinton, 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 Mar 17, 2023; 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.