NPIMap

Organization Active NPI

County of Caswell

  • Paramedic
  • Yanceyville, NC
National Provider Identifier
1356378855
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ParamedicTaxonomy code 146L00000X
License
1361 Issued in NC
Legal business name
COUNTY OF CASWELL
Doing business as
Caswell County Emergency Medical Services
Practice address
208 County Park Rd
Yanceyville, NC 27379
Phone
(336) 694-5177
Fax
(336) 694-5738
NPI assigned
Jun 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Authorized official

Name
Barry Lynch
Title
EMS Director
Phone
(336) 694-5177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ParamedicGroup: 193400000X SINGLE SPECIALTY GROUP 146L00000X 1361 NC Primary

Addresses

Primary practice location

208 County Park Rd
Yanceyville, NC 27379

Mailing address

PO Box 99
208 County Park Rd
Yanceyville, NC 27379-0099
Phone (336) 694-5177

Other identifiers 1

IdentifierTypeStateIssuer
3406848MedicaidNC

Other names 1

  • Caswell County Emergency Medical Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070510000206 NC Part B Supplier - Ambulance Service Supplier 1052334372 Practice locations: Yanceyville, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Caswell County HLTH Dept3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627862400000",
    "number": "1356378855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "address_2": "208 COUNTY PARK RD",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "273790099",
            "telephone_number": "336-694-5177",
            "fax_number": "336-694-5738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 COUNTY PARK RD",
            "city": "YANCEYVILLE",
            "state": "NC",
            "postal_code": "27379",
            "telephone_number": "336-694-5177",
            "fax_number": "336-694-5738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CASWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-28",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "336-694-5177"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "NC",
            "license": "1361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406848",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caswell County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Caswell County Emergency Medical Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yanceyville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2021; 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.