City of Greenville

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1171 Issued in NC

Legal business name

CITY OF GREENVILLE

Doing business as

Greenville Fire Rescue

Practice address

500 S Green St
Greenville, NC 27834-1502

Phone

(252) 329-4609

NPI assigned

Jul 15, 2005

Organization subpart

No

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

Authorized official

Name

Mitch Gibbs

Title

Finance Manager

Phone

(252) 329-4644

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 2

• GREENVILLE FIRE RESCUE Doing business as
• CITY OF GREENVILLE EMS Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• City of Greenville

  dba Greenville Fire Department

  • Land Ambulance
  • Greenville, AL
  • NPI 1568596443

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Caleb Beyer, PARAMEDIC

  • Paramedic
  • Greenville, NC
  • NPI 1073450334
  NPD (past)

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716854400000",
    "number": "1851390553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7207",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278357207",
            "telephone_number": "252-329-4449",
            "fax_number": "252-329-4165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S GREEN ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278341502",
            "telephone_number": "252-329-4609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Martin Luther King Jr Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278581824",
            "country_code": "US",
            "telephone_number": "252-329-4449",
            "fax_number": "252-329-4165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CITY OF GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "MITCH",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "252-329-4644"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07252",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "154387200",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406860",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE OF NC",
            "identifier": "3339854",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENVILLE FIRE RESCUE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CITY OF GREENVILLE EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Maryna Chumakova-Orin, MD
• Raymond Churchill
• Joseph Charles Ciechalski, ED.D.
• Alison B Cieszko, PA-C
• Zachary Stephen Cihal, M.D.
• Annisa Claasen Mello, MD
• Amber Clapp
• Savannah Lee Clardy
• Clarity Counseling PLLC
• Adam Nathaniel Clark, MD

• Land Ambulance in Greenville, NC
• Providers in Greenville, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; 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.