Organization Active NPI

McDowell County

  • Ambulance
  • Marion, NC
National Provider Identifier
1639382716
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
1142 Issued in NC
Legal business name
MCDOWELL COUNTY
Practice address
41 S Garden St
Marion, NC 28752-4024
Phone
(828) 652-7121
Fax
(828) 652-2983
NPI assigned
May 7, 2007
Organization subpart
Yes
Parent organization
MCDOWELL COUNTY EMERGENCY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Authorized official

Name
Mrs. Karen M Morgan
Title
Finance Billing
Phone
(828) 652-7121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1142 NC Primary

Addresses

Primary practice location

41 S Garden St
Marion, NC 28752-4024

Mailing address

60 E Court St
Marion, NC 28752-4041
Phone (828) 652-7121

Other identifiers 2

IdentifierTypeStateIssuer
3406764MedicaidNC
0723MOtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120215000002 NC Part B Supplier - Ambulance Service Supplier 1557443223 Practice locations: Marion, NC

National Provider Directory

National Provider Directory
Tax ID family
McDowell County3 organizations share this tax ID, including this one
Part of
McDowell County

Other organizations with this tax ID 2

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

Locations

129 Barnes Rd
Marion, NC 28752
Phone (828) 652-7121

60 E Court St
Marion, NC 28752
Phone (828) 652-3982

41 S Garden St
Marion, NC 28752
Phone (828) 652-7121

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630368000000",
    "number": "1639382716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E COURT ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524041",
            "telephone_number": "828-652-7121",
            "fax_number": "828-652-2983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 S GARDEN ST",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287524024",
            "telephone_number": "828-652-7121",
            "fax_number": "828-652-2983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDOWELL COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCDOWELL COUNTY EMERGENCY SERVICES",
        "enumeration_date": "2007-05-07",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FINANCE BILLING",
        "authorized_official_telephone_number": "828-652-7121",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406764",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0723M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.

Verify at the official NPI Registry.