Organization Active NPI

County of Chowan Office of Accountant

Doing business as Chowan County EMS

  • Land Ambulance
  • Edenton, NC
National Provider Identifier
1568544179
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF CHOWAN OFFICE OF ACCOUNTANT
Doing business as
Chowan County EMS
Practice address
208 W Hicks St
Edenton, NC 27932-1865
Phone
(252) 482-4365
Fax
(252) 482-7940
NPI assigned
Oct 20, 2006
Last updated
Jul 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Authorized official

Name
Colin Ryan
Title
Director
Phone
(252) 482-4365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NC Primary

Addresses

Primary practice location

208 W Hicks St
Edenton, NC 27932-1865

Mailing address

208 W Hicks St
Edenton, NC 27932-1865
Phone (252) 482-4365

Other identifiers 3

IdentifierTypeStateIssuer
3406758MedicaidNC
590012657OtherNCRAIL ROAD MEDICARE
0720YOtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • CHOWAN 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
O20040930001143 NC Part B Supplier - Ambulance Service Supplier 9234108747 Practice locations: Edenton, NC; Tyner, NC

National Provider Directory

National Provider Directory
Tax ID family
Chowan County Department of Social Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

208 W Hicks St
Edenton, NC 27932
Phone (252) 482-4365

105 Center Hill Rd
Tyner, NC 27980
Phone (252) 221-8009

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1568544179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W HICKS ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321865",
            "telephone_number": "252-482-4365",
            "fax_number": "252-482-7940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W HICKS ST",
            "city": "EDENTON",
            "state": "NC",
            "postal_code": "279321865",
            "telephone_number": "252-482-4365",
            "fax_number": "252-482-7940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CHOWAN OFFICE OF ACCOUNTANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "COLIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-482-4365"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406758",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590012657",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0720Y",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHOWAN COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.