Organization Active NPI

Wildwood Fire and Rescue Inc.

  • Land Ambulance
  • Morehead City, NC
National Provider Identifier
1992742340
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1360 Issued in NC
Legal business name
WILDWOOD FIRE AND RESCUE INC.
Practice address
5291 Hwy 70 W
Morehead City, NC 28557-4507
Phone
(252) 726-9715
Fax
(252) 247-9961
NPI assigned
Jun 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Mr. Terrence Roland Mac Mahon, EMS. DIRECTOR-CHIEF
Title
EMS. Director
Phone
(252) 726-9715

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NC
Land Ambulance 3416L0300X 1360 NC Primary

Addresses

Primary practice location

5291 Hwy 70 W
Morehead City, NC 28557-4507

Mailing address

PO Box 1308
237 Oakland Drive
Walterboro, SC 27488-4509
Phone (843) 549-3444

Other identifiers 1

IdentifierTypeStateIssuer
3406862MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1992742340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1308",
            "address_2": "237 OAKLAND DRIVE",
            "city": "WALTERBORO",
            "state": "SC",
            "postal_code": "274884509",
            "telephone_number": "843-549-3444",
            "fax_number": "843-549-3474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5291 HWY 70 W",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285574507",
            "telephone_number": "252-726-9715",
            "fax_number": "252-247-9961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDWOOD FIRE AND RESCUE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "MAC MAHON",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "ROLAND",
        "authorized_official_title_or_position": "EMS. DIRECTOR",
        "authorized_official_telephone_number": "252-726-9715",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMS. DIRECTOR-CHIEF"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406862",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.