Organization Active NPI

Chocowinity EMS

  • Land Ambulance
  • Chocowinity, NC
National Provider Identifier
1891877171
Registry record updated Dec 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CHOCOWINITY EMS
Practice address
5820 US Highway 17 S
Chocowinity, NC 27817-8368
Phone
(252) 948-2446
Fax
(252) 948-0423
NPI assigned
Oct 19, 2006
Last updated
Dec 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2014

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

Authorized official

Name
Shane Grier
Title
Captain
Phone
(252) 948-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NC Primary

Addresses

Primary practice location

5820 US Highway 17 S
Chocowinity, NC 27817-8368

Mailing address

PO Box 574
Chocowinity, NC 27817-0574
Phone (252) 948-2446

Other identifiers 4

IdentifierTypeStateIssuer
2783080OtherNCMEDICARE
590014707OtherNCRAIL ROAD MEDICARE
0729YOtherNCBLUE CROSS BLUE SHIELD
3406886MedicaidNC

National Provider Directory

National Provider Directory

Locations

512 NC Highway 33 E
Chocowinity, NC 27817
Phone (252) 948-2446

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419206400000",
    "number": "1891877171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278170574",
            "telephone_number": "252-948-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 US HIGHWAY 17 S",
            "city": "CHOCOWINITY",
            "state": "NC",
            "postal_code": "278178368",
            "telephone_number": "252-948-2446",
            "fax_number": "252-948-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOCOWINITY EMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2014-12-22",
        "status": "A",
        "authorized_official_last_name": "GRIER",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "252-948-2446"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "2783080",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "590014707",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0729Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406886",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chocowinity, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2014; 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.