County of Perquimans

Primary specialty

AmbulanceTaxonomy code 341600000X

License

341600000X Issued in NC

Legal business name

COUNTY OF PERQUIMANS

Practice address

159 Creek Dr
Hertford, NC 27944-9402

Phone

(910) 694-3145

Fax

(843) 766-4994

NPI assigned

Jul 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan A Nixon, EMT EMERGENCY SER.

Title

EMS Directer

Phone

(252) 426-5646

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perquimans County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1801895230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279440563",
            "telephone_number": "252-426-5646",
            "fax_number": "252-426-3306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 CREEK DR",
            "city": "HERTFORD",
            "state": "NC",
            "postal_code": "279449402",
            "telephone_number": "910-694-3145",
            "fax_number": "843-766-4994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601B Edenton Road Street",
            "address_purpose": "LOCATION",
            "city": "Hertford",
            "state": "NC",
            "postal_code": "279441413",
            "country_code": "US",
            "telephone_number": "252-426-5646",
            "fax_number": "252-426-3306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF PERQUIMANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EMS DIRECTER",
        "authorized_official_telephone_number": "252-426-5646",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT EMERGENCY SER."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NC",
            "license": "341600000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406914",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perquimans County EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perquimans County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Catholic Charities of the Diocese of Raleigh, Inc
• Coastal Carolina Family Practice PA
• Connecting Communities NC LLC
• Gabrielle K Corprew
• Natalie Corprew
• Haley Pippins Damron, LCMHCA, LCASA
• Sheila T Dolce, PA-C
• Douglas W Perry DDS PA
• Family Care Pharmacy, Inc
• Family Care Pharmacy, Inc

• Ambulance in Hertford, NC
• Providers in Hertford, NC by specialty
• Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.