Active NPI
County of Bertie
Doing business as Bertie County Emergency Services
- Land Ambulance
- Windsor, NC
National Provider Identifier
1356762306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1836
- Legal business name
- COUNTY OF BERTIE
- Doing business as
- Bertie County Emergency Services
- Practice address
- 106 Dundee St Ste 200
Windsor, NC 27983-6770 - Phone
- (252) 724-1675
- Fax
- (252) 974-5327
- NPI assigned
- Dec 18, 2013
- Last updated
- Dec 13, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chrysti Cordon, EMT-PARAMEDIC
- Title
- Assistant EMS Director
- Phone
- (252) 794-5302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1836 | NC | Primary |
Addresses
Primary practice location
106 Dundee St Ste 200
Windsor, NC 27983-6770
Mailing address
PO Box 479
Windsor, NC 27983-0479
Phone (252) 724-1675
Other names 1
- Bertie County Emergency Services
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060911000495 | NC | Part B Supplier - Ambulance Service Supplier | 4789602657 |
1 other NPI on this enrollment Practice locations: Windsor, NC |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryLocations
106 Dundee St
Ste 200
Windsor, NC 27983
Phone (252) 724-1675
106 Dundee St
Ste 201
Windsor, NC 27983
Phone (252) 794-5300
106 Dundee St
Ste 220
Windsor, NC 27983
Phone (252) 794-5334
208 E Granville St
Windsor, NC 27983
Phone (252) 724-1675
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1734048000000",
"number": "1356762306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 479",
"city": "WINDSOR",
"state": "NC",
"postal_code": "279830479",
"telephone_number": "252-724-1675",
"fax_number": "252-974-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 DUNDEE ST STE 200",
"city": "WINDSOR",
"state": "NC",
"postal_code": "279836770",
"telephone_number": "252-724-1675",
"fax_number": "252-974-5327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF BERTIE",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2024-12-13",
"certification_date": "2024-12-13",
"status": "A",
"authorized_official_last_name": "CORDON",
"authorized_official_first_name": "CHRYSTI",
"authorized_official_title_or_position": "ASSISTANT EMS DIRECTOR",
"authorized_official_telephone_number": "252-794-5302",
"authorized_official_credential": "EMT-PARAMEDIC"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NC",
"license": "1836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Bertie County Emergency Services",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Bertie County Emergency Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Windsor, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2024; 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.