NPIMap

Organization Active NPI

County of Onslow

Doing business as Onslow County EMS

  • Land Ambulance
  • Jacksonville, NC
National Provider Identifier
1720027147
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF ONSLOW
Doing business as
Onslow County EMS
Onslow County Rescue Serv
Practice address
1180 Commons Dr N
Jacksonville, NC 28546-6965
Phone
(910) 346-6760
Fax
(910) 346-6875
NPI assigned
Jun 5, 2006
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF ONSLOWAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Brenda Reece
Title
Finance Director
Phone
(910) 989-3134

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NC Primary

Addresses

Primary practice location

1180 Commons Dr N
Jacksonville, NC 28546-6965

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (103) 474-2709

Other identifiers 1

IdentifierTypeStateIssuer
3406757MedicaidNC

Other names 2

  • Onslow County EMS Doing business as
  • Onslow County Rescue Serv Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060221000283 NC Part B Supplier - Ambulance Service Supplier 1355249343 Practice locations: Jacksonville, NC

Other NPIs with the same Medicare PAC ID 1

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

  • County of Onslow

    dba Onslow County Health Dept

    • State or Local Public Health Clinic/Center
    • Jacksonville, NC
    • NPI 1982743928

    1355249343

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Onslow Co Health Dept6 organizations share this tax ID, including this one
Part of
Onslow Co Health Dept

Other organizations with this tax ID 5

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

Locations

1180 Commons Dr N
Jacksonville, NC 28546
Phone (910) 346-6760

615 Court St
Jacksonville, NC 28540

NPI Registry JSON

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1720027147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "103-474-2709",
            "fax_number": "910-455-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 COMMONS DR N",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466965",
            "telephone_number": "910-346-6760",
            "fax_number": "910-346-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ONSLOW",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF ONSLOW",
        "enumeration_date": "2006-06-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "REECE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "FINANCE DIRECTOR",
        "authorized_official_telephone_number": "910-989-3134"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406757",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Onslow County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Onslow County Rescue Serv",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.