County of Iredell

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF IREDELL

Doing business as

Iredell County EMS

Practice address

400 S Meeting St
Statesville, NC 28677-5822

Phone

(704) 878-3025

NPI assigned

Jun 3, 2006

Last updated

Mar 18, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joel R. Mashburn

Title

County Manger

Phone

(704) 878-3025

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Iredell County EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

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

• County of Iredell

  • State or Local Public Health Clinic/Center
  • Statesville, NC
  • NPI 1093790859

  5991773517

  Same PAC ID

Tax ID family

Iredell Co Health Dept9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

• County of Iredell

  • State or Local Public Health Clinic/Center
  • Statesville, NC
  • NPI 1093790859
  NPD tax ID
• County of Iredell

  • Dental Clinic/Center
  • Statesville, NC
  • NPI 1386067908
  NPD tax ID
• County of Iredell

  • State or Local Public Health Clinic/Center
  • Statesville, NC
  • NPI 1457651986
  NPD tax ID
• County of Iredell

  • Non-emergency Medical Transport (VAN)
  • Statesville, NC
  • NPI 1780936286
  NPD tax ID
• County of Iredell

  • Social Worker
  • Statesville, NC
  • NPI 1811221278
  NPD tax ID
• Iredell County DSS

  • Social Worker
  • Statesville, NC
  • NPI 1033238878
  NPD tax ID
• Iredell County DSS

  • Public Health or Welfare Agency
  • Statesville, NC
  • NPI 1962948042
  NPD tax ID
• Iredell County Health Department

  • Public Health or Welfare Agency
  • Statesville, NC
  • NPI 1568748366
  NPD tax ID

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1952349847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 788",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286870788",
            "telephone_number": "704-878-3025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MEETING ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775822",
            "telephone_number": "704-878-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF IREDELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "MASHBURN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "COUNTY MANGER",
        "authorized_official_telephone_number": "704-878-3025",
        "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": "3406722",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Iredell County EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• County of Iredell
• County of Iredell
• County of Iredell
• County of Iredell
• County of Iredell
• Kathryn Jean Courtney
• Karen Courts, CRNA
• Daniel L Cowan, PA-C
• James Cowan, CRNA
• Kaylee Cox, OTR/L

• Land Ambulance in Statesville, NC
• Providers in Statesville, 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 Mar 18, 2011; 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.