Active NPI
County of Vance Office of Treasurer
- Land Ambulance
- Henderson, NC
National Provider Identifier
1376530725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1211
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07244 | Other | NC | BCBS |
| 3406603 | Medicaid | NC |
Other names 1
- Vance County Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Treasurer
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Case Management Agency
- Henderson, NC
- NPI 1477696102
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.