City of Southport

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CITY OF SOUTHPORT

Practice address

1011 N Howe St
Southport, NC 28461-3039

Phone

(910) 457-7915

Fax

(910) 457-7904

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Melanie Trexler

Title

Finance Director

Phone

(910) 457-7906

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1376580811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600900747",
            "telephone_number": "800-244-2354",
            "fax_number": "800-329-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613039",
            "telephone_number": "910-457-7915",
            "fax_number": "910-457-7904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF SOUTHPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "TREXLER",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "910-457-7906"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406660",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sherrie Gray Cass, FNP-C
• Mesha McKinney Chadwick, MD
• Christopher Ryan Chance
• Karen Harris Chance, NP
• Ashok J Chandarana, R.PH
• Allison Clark
• Jonathan Blake Clarke, LCAS
• Katie Clegg
• Jesse Clinger, PHARMD
• Coastal Companion Care, LLC

• Land Ambulance in Southport, NC
• Providers in Southport, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; 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.