Active NPI
Priority Care Ambulance Inc.
- Land Ambulance
- Raleigh, NC
National Provider Identifier
1508247610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1867
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508247610 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160406000669 | NC | Part B Supplier - Ambulance Service Supplier | 4587962626 | Practice locations: Raleigh, NC |
National Provider Directory
National Provider DirectoryLocations
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.