Village of Bald Head Island

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

VILLAGE OF BALD HEAD ISLAND

Doing business as

Bald Head Island Volunteer Rescue Squad

Practice address

251 Edward Teach Ext
Bald Head Island, NC 28461

Phone

(910) 457-4310

Fax

(910) 457-4960

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Jerome C Munna

Title

Chief

Phone

(910) 457-4310

Specialties & licenses 1

Addresses

Other names 1

• Bald Head Island Volunteer Rescue Squad Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1336178094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3009",
            "city": "BALD HEAD ISLAND",
            "state": "NC",
            "postal_code": "284617000",
            "telephone_number": "910-457-4310",
            "fax_number": "910-457-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 EDWARD TEACH EXT",
            "city": "BALD HEAD ISLAND",
            "state": "NC",
            "postal_code": "28461",
            "telephone_number": "910-457-4310",
            "fax_number": "910-457-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE OF BALD HEAD ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "MUNNA",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "910-457-4310",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bald Head Island Volunteer Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bald Head Island Center for Wellness
• Island Time Medical and Wellness, PLLC
• J. Arthur Dosher Memorial Hospital
• Joyce Nelson, LCSW-C

• Land Ambulance in Bald Head Island, NC
• Providers in Bald Head Island, 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 May 19, 2008; 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.