Organization Active NPI

County of Hyde Office of Accountant

  • Land Ambulance
  • Swanquarter, NC
National Provider Identifier
1417995309
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1223 Issued in NC
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

Updated by the provider on Mar 26, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3406767MedicaidNC

Other names 1

  • Hyde County EMS Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

National Provider Directory

National Provider Directory
Tax ID family
Hyde County DSS Mattamuskeet Opportunties Adap Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

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.

Verify at the official NPI Registry.