County of Brunswick

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF BRUNSWICK

Practice address

3325 Old Ocean Hwy
Bolivia, NC 28422-8919

Phone

(910) 253-5383

Fax

(910) 253-4451

NPI assigned

May 28, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Horace C Johnston

Title

EMS Division Director

Phone

(910) 253-2564

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brunswick County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Tax ID family

County of Brunswick5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

• Brunswick County Health Department

  • Registered Dietitian
  • Bolivia, NC
  • NPI 1043599376
  NPD tax ID
• County of Brunswick

  • Case Management Agency
  • Bolivia, NC
  • NPI 1265602304
  NPD tax ID
• County of Brunswick

  • Nursing Care Agency
  • Bolivia, NC
  • NPI 1548391972
  NPD tax ID
• County of Brunswick

  • State or Local Public Health Clinic/Center
  • Bolivia, NC
  • NPI 1841248622
  NPD tax ID

Locations

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

• County of Brunswick

  • State or Local Public Health Clinic/Center
  • Bolivia, NC
  • NPI 1841248622

  3274438296

  Same PAC ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna R. Bacchi-Smith

  • Pediatrics Physician
  • Lumberton, NC
  • NPI 1588645758
  NPD
• Laura Michele Quarino, NP

  • Family Nurse Practitioner
  • Bolivia, NC
  • NPI 1710087226
  NPD
• Anne Wrenn, RD

  • Registered Dietitian
  • Bolivia, NC
  • NPI 1134382179
  NPD

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1831146471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284220249",
            "telephone_number": "910-253-5383",
            "fax_number": "910-253-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 OLD OCEAN HWY",
            "city": "BOLIVIA",
            "state": "NC",
            "postal_code": "284228919",
            "telephone_number": "910-253-5383",
            "fax_number": "910-253-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF BRUNSWICK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "HORACE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "EMS DIVISION DIRECTOR",
        "authorized_official_telephone_number": "910-253-2564",
        "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": "3406644",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831146471",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brunswick County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Cook, M.S. CCC-LSLP
• Caryn Marie Coons, LPC-S
• County of Brunswick
• County of Brunswick
• County of Brunswick
• County of Brunswick
• Nathan Kurt Craig, DO
• Denise Anna-Marie Davies, CNM
• Gregory Davis, MD
• Sarah Hayden Delabastide, PA-C

• All providers in Bolivia, NC
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2023; 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.