Organization Active NPI

Priority Care Ambulance Inc.

  • Land Ambulance
  • Raleigh, NC
National Provider Identifier
1508247610
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1867 Issued in NC
Legal business name
PRIORITY CARE AMBULANCE INC.
Practice address
5116 Bur Oak Cir Ste 100
Raleigh, NC 27612-3101
Phone
(919) 627-5562
Fax
(800) 320-4799
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Authorized official

Name
Mr. William Masone
Title
President/Ceo
Phone
(919) 627-5562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1867 NC Primary

Addresses

Primary practice location

5116 Bur Oak Cir Ste 100
Raleigh, NC 27612-3101

Mailing address

5116 Bur Oak Cir Ste 100
Raleigh, NC 27612-3101
Phone (919) 627-5562

Other identifiers 1

IdentifierTypeStateIssuer
1508247610MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160406000669 NC Part B Supplier - Ambulance Service Supplier 4587962626 Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

1340 SE Maynard Rd
Ste 203
Cary, NC 27511
Phone (919) 230-4833

5116 Bur Oak Cir
Raleigh, NC 27612
Phone (919) 627-5562

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

5116 Bur Oak Cir
Ste 100
Raleigh, NC 27612
Phone (919) 627-5562

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1508247610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 BUR OAK CIR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123101",
            "telephone_number": "919-627-5562",
            "fax_number": "800-320-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 BUR OAK CIR STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276123101",
            "telephone_number": "919-627-5562",
            "fax_number": "800-320-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIORITY CARE AMBULANCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "MASONE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "919-627-5562",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508247610",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "5116 Bur Oak Cir Ste 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276123101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2021; 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.