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COASTAL AMBULANCE CO.INC NPI 1134155575


NPI Information

NPI: 1134155575
Provider Name: COASTAL AMBULANCE CO.,INC
Classification: Emergency Medical Technician, Basic - 146N00000X
Entity Type: Organization
Address:
194 THOMAS LOOP RD
JACKSONVILLE, NC
ZIP 28540
Phone: (910) 324-6304
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COASTAL AMBULANCE CO.,INC is an emergency medical technician basic in Jacksonville, NC. The provider is a Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. COASTAL AMBULANCE CO.,INC NPI is 1134155575. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

194 THOMAS LOOP RD
JACKSONVILLE, NC
ZIP 28540-518
Phone: (910) 324-6304
Fax: (910) 324-3040

The provider's authorized official is H.steven Pridgen .
The authorized official title is Owner/director and has the following contact phone number (910) 324-6304.

The enumeration date for this NPI number is 6/25/2006 and was last updated on 8/22/2020.


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
1146N00000XEmergency Medical Technician, Basic0520902NORTH CAROLINAYes

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
13406781MEDICAIDNORTH CAROLINA

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

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