Willem, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WILLEM, LLC

Doing business as

Ahoskie Ambulance Service

Practice address

119 Railroad St N
Ahoskie, NC 27910-3040

Phone

(252) 332-2002

NPI assigned

Nov 7, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Allison Austin Slade

Title

Vice President

Phone

(252) 332-2002

Specialties & licenses 2

Addresses

Other names 1

• Ahoskie Ambulance Service Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1245875806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279101452",
            "telephone_number": "252-332-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 RAILROAD ST N",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103040",
            "telephone_number": "252-332-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "SLADE",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "252-332-2002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ahoskie Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ahoskie Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paulette F. Watson
• We Are All Connected
• Wendy Lee Weber, P.A.
• Ernestine Futrell Webster, LCSW
• Patricia Wright Wesson, M.D.
• Bernard A. Williams, M.D.
• Arnethia Iraelle Wills, PHARMD
• Mackenzie Lesha Wilson, FNP-C
• Robin Davenport Winslow, PTA
• Valecia Lisa Wooddell

• Land Ambulance in Ahoskie, NC
• Providers in Ahoskie, 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 Jan 27, 2020; 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.