County of Moore

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF MOORE

Doing business as

Moore County EMS

Practice address

302 McNeill St
Carthage, NC 28327-7589

Phone

(910) 947-6317

Fax

(910) 947-6378

NPI assigned

Aug 25, 2006

Last updated

Apr 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. D Bryan Phillips

Title

Director

Phone

(910) 947-6317

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Moore County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

Moore Cnty HLTH Dept2 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.

• Moore County Department of Social Services

  • Case Management Agency
  • Carthage, NC
  • NPI 1821295395
  NPD tax ID

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1407964125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 905",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283270905",
            "telephone_number": "910-947-6317",
            "fax_number": "910-947-6378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MCNEILL ST",
            "city": "CARTHAGE",
            "state": "NC",
            "postal_code": "283277589",
            "telephone_number": "910-947-6317",
            "fax_number": "910-947-6378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MOORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "D",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-947-6317",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406998",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Moore County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tifane S Chambers
• Charles M. Guizzotti, D.D.S., P.a.
• Katie Irene Chisolm, IBCLC
• Krystal Cornish
• County of Moore (Moore County Health Department)
• Kimberly Sue-Hicks Donze, RN/NP
• Drug Free Moore County Inc. (Moore ReCreations Recovery Centers)
• FHPG, LLC (FirstHealth Family Medicine-Carthage Family Medicine)
• FHPG, LLC (FirstHealth Family Medicine-Whispering Pines)
• FHPG, LLC (FirstHealth Family Medicine - Carthage)

• Land Ambulance in Carthage, NC
• Providers in Carthage, 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 Apr 25, 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.