NPIMap

Organization Active NPI

County of Bladen Office of Auditor

Doing business as Bladen County Emergency Medical Services

  • Land Ambulance
  • Elizabethtown, NC
National Provider Identifier
1407802861
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF BLADEN OFFICE OF AUDITOR
Doing business as
Bladen County Emergency Medical Services
Practice address
292 Bengreen Ind PK Rd
Elizabethtown, NC 28337-8002
Phone
(910) 862-6738
NPI assigned
May 26, 2006
Last updated
Jul 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Authorized official

Name
David D Howell Jr.
Title
EMS Director
Phone
(910) 862-6738

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NC Primary

Addresses

Primary practice location

292 Bengreen Ind PK Rd
Elizabethtown, NC 28337-8002

Mailing address

PO Box 477
Elizabethtown, NC 28337-0477
Phone (910) 862-6760

Other practice location 1

106 E Broad Street
Elizabethtown, NC 28337-9005
Phone (910) 862-6760

Other identifiers 1

IdentifierTypeStateIssuer
3406704MedicaidNC

Other names 1

  • BLADEN 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
O20091217000617 NC Part B Supplier - Ambulance Service Supplier 9830002120 Practice locations: Elizabethtown, NC

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory
Tax ID family
Bladen County Health Dep7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Member organizations 2

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

Locations

106 E Broad St
Elizabethtown, NC 28337
Phone (910) 862-6760

292 Ben Green Industrial Park Rd
#P
Elizabethtown, NC 28337
Phone (910) 862-6704

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688688000000",
    "number": "1407802861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 477",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283370477",
            "telephone_number": "910-862-6760",
            "fax_number": "910-862-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 BENGREEN IND PK RD",
            "city": "ELIZABETHTOWN",
            "state": "NC",
            "postal_code": "283378002",
            "telephone_number": "910-862-6738"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 E Broad Street",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379005",
            "country_code": "US",
            "telephone_number": "910-862-6760",
            "fax_number": "910-862-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF BLADEN OFFICE OF AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "910-862-6738",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406704",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLADEN COUNTY EMERGENCY MEDICAL SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elizabethtown, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.