Organization Active NPI

City of Havelock

Doing business as Havelock Fire - Rescue

  • Land Ambulance
  • Havelock, NC
National Provider Identifier
1508803313
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CITY OF HAVELOCK
Doing business as
Havelock Fire - Rescue
Practice address
2 Hatteras Ave
Havelock, NC 28532-1939
Phone
(252) 444-6441
Fax
(252) 444-6896
NPI assigned
Jun 1, 2006
Last updated
Jul 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Authorized official

Name
Mr. Richard A Zaccardelli
Title
Fire/Rescue Chief
Phone
(252) 444-6441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NC Primary

Addresses

Primary practice location

2 Hatteras Ave
Havelock, NC 28532-1939

Mailing address

PO Box 368
Havelock, NC 28532-0368
Phone (252) 444-6441

Other identifiers 1

IdentifierTypeStateIssuer
3406720MedicaidNC

Other names 1

  • Havelock Fire - Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120112000044 NC Part B Supplier - Ambulance Service Supplier 1557538725 Practice locations: Havelock, NC

National Provider Directory

National Provider Directory

Locations

2 Governmental Dr
Havelock, NC 28532
Phone (252) 444-6441

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215993600000",
    "number": "1508803313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 368",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285320368",
            "telephone_number": "252-444-6441",
            "fax_number": "252-444-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HATTERAS AVE",
            "city": "HAVELOCK",
            "state": "NC",
            "postal_code": "285321939",
            "telephone_number": "252-444-6441",
            "fax_number": "252-444-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF HAVELOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2008-07-14",
        "status": "A",
        "authorized_official_last_name": "ZACCARDELLI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FIRE/RESCUE CHIEF",
        "authorized_official_telephone_number": "252-444-6441",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406720",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Havelock Fire - Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Havelock, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; 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.