Active NPI
County of Transylvania
- Land Ambulance
- Brevard, NC
National Provider Identifier
1972627057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1305
- Legal business name
- COUNTY OF TRANSYLVANIA
- Practice address
- 21 E Main St
Brevard, NC 28712-3737 - Phone
- (828) 884-3104
- Fax
- (828) 884-3119
- NPI assigned
- Mar 16, 2007
- Last updated
- Nov 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gay V Poor
- Title
- Finance Officer
- Phone
- (828) 884-3104
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 1305 | NC | Primary |
Addresses
Primary practice location
21 E Main St
Brevard, NC 28712-3737
Mailing address
21 E Main St
Brevard, NC 28712-3737
Phone (828) 884-3104
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406680 | Medicaid | NC | |
| 0729P | Other | NC | BLUE CROSS BLUE SHIELD |
Other names 1
- Transylvania County EMS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120110000651 | NC | Part B Supplier - Ambulance Service Supplier | 6507032778 | Practice locations: Brevard, NC |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba Transylvania County Department of Public Health
- State or Local Public Health Clinic/Center
- Brevard, NC
- NPI 1821142845
6507032778
National Provider Directory
National Provider Directory- Tax ID family
- County of Transylvania
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Transylvania County Department of Public Health
- State or Local Public Health Clinic/Center
- Brevard, NC
- NPI 1801941497
-
dba Transylvania County Department of Public Health
- State or Local Public Health Clinic/Center
- Brevard, NC
- NPI 1821142845
-
- Public Health or Welfare Agency
- Brevard, NC
- NPI 1841482700
Locations
21 E Main St
Brevard, NC 28712
Phone (828) 884-3104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1321228800000",
"number": "1972627057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 E MAIN ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123737",
"telephone_number": "828-884-3104",
"fax_number": "828-884-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 E MAIN ST",
"city": "BREVARD",
"state": "NC",
"postal_code": "287123737",
"telephone_number": "828-884-3104",
"fax_number": "828-884-3119"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF TRANSYLVANIA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2011-11-14",
"status": "A",
"authorized_official_last_name": "POOR",
"authorized_official_first_name": "GAY",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "FINANCE OFFICER",
"authorized_official_telephone_number": "828-884-3104"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "NC",
"license": "1305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3406680",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0729P",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Transylvania County EMS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Brevard, NC
- Nikki Coniglio
- Randall Kevin Cope
- Isobel Cordero, CRNA
- County of Transylvania (Transylvania County Department of Public Health)
- County of Transylvania (Transylvania County Department of Public Health)
- Colin Covelli, ATC
- Joseph Lawrence Cowart, DMD
- Cozart & Associates PLLC, Wiley Simeon Cozart III Sole MBR
- Wiley Simeon Cozart III, DDS
- Caitlin Brooks Craig, LPCA, NCC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.