NPIMap

Organization Active NPI

County of Caldwell

Doing business as Caldwell County EMS

  • Ambulance
  • Lenoir, NC
National Provider Identifier
1639188162
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1041 Issued in NC
Legal business name
COUNTY OF CALDWELL
Doing business as
Caldwell County EMS
Practice address
616 West Ave
Lenoir, NC 28645-5188
Phone
(828) 757-1336
Fax
(828) 757-8696
NPI assigned
Aug 5, 2006
Last updated
Feb 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Mr. Tommy Earl Courtner
Title
EMS Director
Phone
(828) 757-1424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1041 NC Primary

Addresses

Primary practice location

616 West Ave
Lenoir, NC 28645-5188

Mailing address

PO Box 2200
Lenoir, NC 28645-2200
Phone (828) 757-1336

Other identifiers 3

IdentifierTypeStateIssuer
3406637MedicaidNC
0722COtherNCBCBS/NC
0722COtherNCBLUE CROSS BLUE SHIELD

Other names 1

  • Caldwell 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
O20100304001079 NC Part B Supplier - Ambulance Service Supplier 1456391523 Practice locations: Lenoir, NC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Caldwell County EMS4 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

2345 Morganton Blvd SW
#B
Lenoir, NC 28645
Phone (828) 426-8400

616 West Ave NW
Lenoir, NC 28645
Phone (828) 757-1279

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1639188162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2200",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286452200",
            "telephone_number": "828-757-1336",
            "fax_number": "828-757-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 WEST AVE",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455188",
            "telephone_number": "828-757-1336",
            "fax_number": "828-757-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF CALDWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "COURTNER",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "EMS DIRECTOR",
        "authorized_official_telephone_number": "828-757-1424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406637",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS/NC",
            "identifier": "0722C",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0722C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caldwell County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lenoir, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.