Town of Morehead City

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1355 Issued in NC

Legal business name

TOWN OF MOREHEAD CITY

Practice address

4034 Arendell St
Morehead City, NC 28557-2925

Phone

(252) 726-5040

Fax

(252) 240-0480

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Kelly Kaye Urban

Title

EMS Coordinator

Phone

(252) 726-5040

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Morehead City Fire & EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1598703290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 ARENDELL STREET",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-726-6848",
            "fax_number": "252-241-0480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4034 ARENDELL ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572925",
            "telephone_number": "252-726-5040",
            "fax_number": "252-240-0480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF MOREHEAD CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "URBAN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "EMS COORDINATOR",
        "authorized_official_telephone_number": "252-726-5040"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406941",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morehead City Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Morehead City Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.