NPIMap

Organization Active NPI

County of Swain

Doing business as Swain County EMS

  • Land Ambulance
  • Bryson City, NC
National Provider Identifier
1275571630
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF SWAIN
Doing business as
Swain County EMS
Practice address
155 Slope Street
Bryson City, NC 28713-0000
Phone
(828) 488-2196
Fax
(828) 488-9073
NPI assigned
Jun 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Authorized official

Name
Mr. David Breedlove
Title
EMS Director
Phone
(828) 488-2196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NC Primary

Addresses

Primary practice location

155 Slope Street
Bryson City, NC 28713-0000

Mailing address

P.O. Box 2321
Bryson City, NC 28713-2321
Phone (828) 488-2196

Other identifiers 1

IdentifierTypeStateIssuer
3406718MedicaidNC

Other names 1

  • Swain County EMS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120214000637 NC Part B Supplier - Ambulance Service Supplier 8022292457 Practice locations: Bryson City, NC

National Provider Directory

National Provider Directory
Tax ID family
County of Swain7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1275571630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2321",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287132321",
            "telephone_number": "828-488-2196",
            "fax_number": "828-488-9073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SLOPE STREET",
            "city": "BRYSON CITY",
            "state": "NC",
            "postal_code": "287130000",
            "telephone_number": "828-488-2196",
            "fax_number": "828-488-9073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SWAIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "BREEDLOVE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "828-488-2196",
        "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": "3406718",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Swain County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bryson City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.