Organization Active NPI

Town of Emerald Isle

Doing business as Emerald Isle Fire Department

  • Land Ambulance
  • Emerald Isle, NC
National Provider Identifier
1447763750
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1240 Issued in NC
Legal business name
TOWN OF EMERALD ISLE
Doing business as
Emerald Isle Fire Department
Practice address
7500 Emerald Dr
Emerald Isle, NC 28594-2917
Phone
(252) 354-3424
NPI assigned
Nov 8, 2017
Last updated
Jan 16, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TOWN OF EMERALD ISLEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Laura Rotchford
Title
Finance Director
Phone
(252) 354-3424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1240 NC Primary

Addresses

Primary practice location

7500 Emerald Dr
Emerald Isle, NC 28594-2917

Mailing address

7500 Emerald Dr
Emerald Isle, NC 28594-2917
Phone (252) 354-3424

Other practice location 1

7604 Emerald Dr
Emerald Isle, NC 28594-2919
Phone (252) 354-2249

Other names 1

  • EMERALD ISLE FIRE DEPARTMENT Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180305002047 NC Part B Supplier - Ambulance Service Supplier 5597026716 Practice locations: Emerald Isle, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2145101Town of Emerald Isle7604 Emerald Drive, Emerald Isle, NC 28594Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory
Part of
Town of Emerald Isle

Locations

7500 Emerald Dr
Emerald Isle, NC 28594
Phone (252) 354-3424

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1447763750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 EMERALD DR",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942917",
            "telephone_number": "252-354-3424",
            "fax_number": "252-354-5068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 EMERALD DR",
            "city": "EMERALD ISLE",
            "state": "NC",
            "postal_code": "285942917",
            "telephone_number": "252-354-3424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7604 Emerald Dr",
            "address_purpose": "LOCATION",
            "city": "Emerald Isle",
            "state": "NC",
            "postal_code": "285942919",
            "country_code": "US",
            "telephone_number": "252-354-2249",
            "fax_number": "252-354-9384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOWN OF EMERALD ISLE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOWN OF EMERALD ISLE",
        "enumeration_date": "2017-11-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "ROTCHFORD",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "252-354-3424"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EMERALD ISLE FIRE DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Emerald Isle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.