Organization Active NPI

Mecklenburg County Ambulance Service

  • Land Ambulance
  • Charlotte, NC
National Provider Identifier
1801917166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
0600621 Issued in NC
Legal business name
MECKLENBURG COUNTY AMBULANCE SERVICE
Practice address
4525 Statesville Rd
Charlotte, NC 28269-4249
Phone
(704) 943-6000
NPI assigned
Apr 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Shelly Forward
Title
Finance Officer
Phone
(704) 943-6110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 0600621 NC Primary

Addresses

Primary practice location

4525 Statesville Rd
Charlotte, NC 28269-4249

Mailing address

4525 Statesville Rd
Charlotte, NC 28269-4249
Phone (704) 943-6000

National Provider Directory

National Provider Directory
Tax ID family
Mecklenburg County32 organizations share this tax ID, including this one

Other organizations with this tax ID 31

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

View all 31

Locations

4525 Statesville Rd
Charlotte, NC 28269
Phone (704) 943-6000

NPI Registry JSON

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801917166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 STATESVILLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694249",
            "telephone_number": "704-943-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 STATESVILLE RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282694249",
            "telephone_number": "704-943-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MECKLENBURG COUNTY AMBULANCE SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FORWARD",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "704-943-6110"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "0600621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.