PENDER EMS AND FIRE INC NPI 1033205182

NPI Information

NPI: 1033205182
Provider Name: PENDER EMS AND FIRE INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

CLIA Number: 34D0864641

Address:
805 RIDGEWOOD AVE
BURGAW, NC
ZIP 28425
Phone: (910) 675-9198
Get Directions

PENDER EMS AND FIRE INC is a land transport ambulance in Burgaw, NC. PENDER EMS AND FIRE INC NPI is 1033205182. The provider is registered as an organization entity type.

The provider's business location address is:

805 RIDGEWOOD AVE
BURGAW, NC
ZIP 28425-111
Phone: (910) 675-9198
Fax: (910) 675-9169

The provider's authorized official is Woodrow Wilson Sullivan .
The authorized official title is Chief and has the following contact phone number (910) 675-9166.

The CLIA number assigned to this NPI record is 34D0864641 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 9/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416L0300X	Ambulance	Land Transport	1578	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3406947	MEDICAID	NORTH CAROLINA
2	07294	OTHER	NORTH CAROLINA	BCBS OF NC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »