NPIMap

Organization Active NPI

County of Greene

  • Land Ambulance
  • Snow Hill, NC
National Provider Identifier
1801833751
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
COUNTY OF GREENE
Practice address
201 Martin L King Jr Pkwy
Snow Hill, NC 28580-1320
Phone
(252) 747-2544
Fax
(252) 747-4222
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Mr. Kyle Dehaven
Title
County Manager
Phone
(252) 747-3446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NC Primary

Addresses

Primary practice location

201 Martin L King Jr Pkwy
Snow Hill, NC 28580-1320

Mailing address

201 Martin L King Jr Pkwy
Snow Hill, NC 28580-1320
Phone (252) 747-2544

Other identifiers 1

IdentifierTypeStateIssuer
3406682MedicaidNC

Other names 1

  • Greene 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
O20120907000615 NC Part B Supplier - Ambulance Service Supplier 9638327109 Practice locations: Snow Hill, NC; Hookerton, 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
County of Greene7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

201 Martin L King Jr Pkwy
Snow Hill, NC 28580
Phone (252) 747-2544

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1801833751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MARTIN L KING JR PKWY",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801320",
            "telephone_number": "252-747-2544",
            "fax_number": "252-747-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MARTIN L KING JR PKWY",
            "city": "SNOW HILL",
            "state": "NC",
            "postal_code": "285801320",
            "telephone_number": "252-747-2544",
            "fax_number": "252-747-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF GREENE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "DEHAVEN",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "COUNTY MANAGER",
        "authorized_official_telephone_number": "252-747-3446",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406682",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greene County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greene County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snow Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.