County of Edgecombe Office of Auditor

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

COUNTY OF EDGECOMBE OFFICE OF AUDITOR

Doing business as

Edgecombe County EMS
Edgecombe County Rescue and EMS

Practice address

201 Saint Andrew St
Tarboro, NC 27886-5198

Phone

(252) 641-1615

Fax

(843) 765-4994

NPI assigned

Oct 20, 2006

Last updated

Apr 28, 2021By 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

Chad Eason

Title

Director

Phone

(252) 883-8566

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 2

• EDGECOMBE COUNTY EMS Doing business as
• EDGECOMBE COUNTY RESCUE AND 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 Edgecombe Office of Auditor

  dba Edgecombe County Health Department

  • State or Local Public Health Clinic/Center
  • Tarboro, NC
  • NPI 1770610602

  6204723497

  Same PAC ID

Tax ID family

County of Edgecombe2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• County of Edgecombe Office of Auditor

  dba Edgecombe County Health Department

  • Case Management Agency
  • Tarboro, NC
  • NPI 1619927043
  NPD tax ID

Locations

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1972685584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SAINT ANDREW ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865198",
            "telephone_number": "252-883-8566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SAINT ANDREW ST",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278865198",
            "telephone_number": "252-641-1615",
            "fax_number": "843-765-4994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Office Street",
            "address_purpose": "LOCATION",
            "city": "Tarboro",
            "state": "NC",
            "postal_code": "278861156",
            "country_code": "US",
            "telephone_number": "252-823-5266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF EDGECOMBE OFFICE OF AUDITOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-883-8566"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406882",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07242",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDGECOMBE COUNTY EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "EDGECOMBE COUNTY RESCUE AND EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marvin David Coulthard, M.A., L.P.A.
• County of Edgecombe Office of Auditor (Edgecombe County Health Department)
• County of Edgecombe Office of Auditor (Edgecombe Homecare & Hospice)
• County of Edgecombe Office of Auditor (Edgecombe County Health Department)
• County of Edgecombe Office of Auditor
• Karen Coward, M.D.
• Jerry Evan Coy, CRNA
• Created for This Doula Services LLC
• Cristen's Caring Corner LLC
• Lakiesha Cross

• Land Ambulance in Tarboro, NC
• Providers in Tarboro, 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 Apr 28, 2021; 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.