Organization Active NPI

Med 1 Inter-Facility Care LLC

  • Ambulance
  • Winterville, NC
National Provider Identifier
1346395464
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1536 Issued in NC
Legal business name
MED 1 INTER-FACILITY CARE LLC
Practice address
220 Forlines Rd
Winterville, NC 28590-8509
Phone
(252) 215-5254
Fax
(252) 215-5261
NPI assigned
Jan 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Authorized official

Name
Mr. Joseph Wilson Butler
Title
Coo
Phone
(252) 215-5254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1536 NC Primary

Addresses

Primary practice location

220 Forlines Rd
Winterville, NC 28590-8509

Mailing address

PO Box 2195
220 Forlines Rd
Winterville, NC 28590-2195
Phone (252) 215-5254

Other identifiers 1

IdentifierTypeStateIssuer
3406858MedicaidNC

National Provider Directory

National Provider Directory

Locations

220 Forlines Rd
Winterville, NC 28590
Phone (252) 215-5254

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1346395464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2195",
            "address_2": "220 FORLINES RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285902195",
            "telephone_number": "252-215-5254",
            "fax_number": "252-215-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 FORLINES RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908509",
            "telephone_number": "252-215-5254",
            "fax_number": "252-215-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED 1 INTER-FACILITY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "WILSON",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "252-215-5254",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406858",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winterville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.