Active NPI
County of Hyde Office of Accountant
- Land Ambulance
- Swanquarter, NC
National Provider Identifier
1417995309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1223
- Legal business name
- COUNTY OF HYDE OFFICE OF ACCOUNTANT
- Practice address
- 30 Oyster Creek
Swanquarter, NC 27885 - Phone
- (910) 694-3145
- Fax
- (843) 765-4994
- NPI assigned
- Jun 3, 2006
- 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
- John Wilson
- Title
- EMS Director
- Phone
- (910) 340-1519
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | NC | ||
| Land Ambulance | 3416L0300X | 1223 | NC | Primary |
Addresses
Primary practice location
30 Oyster Creek
Swanquarter, NC 27885
Mailing address
PO Box 95
1223 Main St
Swan Quarter, NC 27885-1223
Phone (252) 926-4374
Other practice location 1
162 Juniper Bay Rd
Swan Quarter, NC 27885
Phone (252) 926-4374
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406767 | Medicaid | NC |
Other names 1
- Hyde County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100428000628 | NC | Part B Supplier - Ambulance Service Supplier | 1951438688 | Practice locations: Swanquarter, NC; Ocracoke, NC; Swan Quarter, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- State or Local Public Health Clinic/Center
- Swanquarter, NC
- NPI 1962405159
1951438688
National Provider Directory
National Provider Directory- Tax ID family
- Hyde County DSS Mattamuskeet Opportunties Adap Center
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Registered Dietitian
- Swanquarter, NC
- NPI 1376841627
-
- Case Management Agency
- Swan Quarter, NC
- NPI 1366681728
-
- Case Manager/Care Coordinator
- Swan Quarter, NC
- NPI 1730228511
-
- Developmentally Disabled Services Day Training Agency
- Fairfield, NC
- NPI 1245469097
Locations
162 Juniper Bay Rd
Swanquarter, NC 27885
Phone (252) 926-4373
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1417995309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95",
"address_2": "1223 MAIN ST",
"city": "SWAN QUARTER",
"state": "NC",
"postal_code": "278851223",
"telephone_number": "252-926-4374",
"fax_number": "252-926-5739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 OYSTER CREEK",
"city": "SWANQUARTER",
"state": "NC",
"postal_code": "27885",
"telephone_number": "910-694-3145",
"fax_number": "843-765-4994"
}
],
"practiceLocations": [
{
"address_1": "162 Juniper Bay Rd",
"address_purpose": "LOCATION",
"city": "Swan Quarter",
"state": "NC",
"postal_code": "27885",
"country_code": "US",
"telephone_number": "252-926-4374",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COUNTY OF HYDE OFFICE OF ACCOUNTANT",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-03",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "EMS DIRECTOR",
"authorized_official_telephone_number": "910-340-1519"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NC",
"license": "1223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406767",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hyde County EMS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hyde County EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Swanquarter, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.