NPIMap

Organization Active NPI

County of Iredell

  • Non-emergency Medical Transport (VAN)
  • Statesville, NC
National Provider Identifier
1780936286
Registry record updated Mar 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
COUNTY OF IREDELL
Practice address
2611 Ebony Cir
Statesville, NC 28625-6401
Phone
(704) 873-9393
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2023

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

Authorized official

Name
Bradley Johnson
Title
Transportation Director
Phone
(704) 880-0576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2611 Ebony Cir
Statesville, NC 28625-6401

Mailing address

PO Box 788
Statesville, NC 28687-0788

National Provider Directory

National Provider Directory
Tax ID family
Iredell County Health D9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

2611 Ebony Cir
Statesville, NC 28625
Phone (704) 873-9393

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1780936286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286870788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2611 EBONY CIR",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286256401",
            "telephone_number": "704-873-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF IREDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "TRANSPORTATION DIRECTOR",
        "authorized_official_telephone_number": "704-880-0576"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Statesville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.