Active NPI
Wildwood Fire and Rescue Inc.
- Land Ambulance
- Morehead City, NC
National Provider Identifier
1992742340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1360
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3406862 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.