Provider Demographics
NPI:1376530725
Name:COUNTY OF VANCE OFFICE OF TREASURER
Entity Type:Organization
Organization Name:COUNTY OF VANCE OFFICE OF TREASURER
Other - Org Name:VANCE COUNTY AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-738-2006
Mailing Address - Street 1:122 YOUNG ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-4268
Mailing Address - Country:US
Mailing Address - Phone:252-738-2020
Mailing Address - Fax:252-738-2039
Practice Address - Street 1:122 YOUNG ST
Practice Address - Street 2:SUITE B
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-4268
Practice Address - Country:US
Practice Address - Phone:252-738-2020
Practice Address - Fax:252-738-2039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-30
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12113416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07244OtherBCBS
NC3406603Medicaid
NC07244OtherBCBS