Organization Active NPI

County of Vance Office of Treasurer

  • Land Ambulance
  • Henderson, NC
National Provider Identifier
1376530725
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1211 Issued in NC
Legal business name
COUNTY OF VANCE OFFICE OF TREASURER
Practice address
122 Young St
Suite B
Henderson, NC 27536-4268
Phone
(252) 738-2020
Fax
(252) 738-2039
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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

Authorized official

Name
Stephanie Williams
Title
Finance Director
Phone
(252) 738-2006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1211 NC Primary

Addresses

Primary practice location

122 Young St
Suite B
Henderson, NC 27536-4268

Mailing address

122 Young St
Suite B
Henderson, NC 27536-4268
Phone (252) 738-2020

Other identifiers 2

IdentifierTypeStateIssuer
07244OtherNCBCBS
3406603MedicaidNC

Other names 1

  • Vance County Ambulance Service Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060127000788 NC Part B Supplier - Ambulance Service Supplier 1355355405 Practice locations: Henderson, NC

National Provider Directory

National Provider Directory
Tax ID family
County of Vance Office of Treasurer2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

122 Young St
Ste B
Henderson, NC 27536
Phone (252) 738-2020

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712016000000",
    "number": "1376530725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 YOUNG ST",
            "address_2": "SUITE B",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364268",
            "telephone_number": "252-738-2020",
            "fax_number": "252-738-2039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 YOUNG ST",
            "address_2": "SUITE B",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275364268",
            "telephone_number": "252-738-2020",
            "fax_number": "252-738-2039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF VANCE OFFICE OF TREASURER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "252-738-2006"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "07244",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406603",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vance County Ambulance Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NC

Sources for this page

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

Verify at the official NPI Registry.