Provider Demographics
NPI:1417995309
Name:COUNTY OF HYDE OFFICE OF ACCOUNTANT
Entity Type:Organization
Organization Name:COUNTY OF HYDE OFFICE OF ACCOUNTANT
Other - Org Name:HYDE COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-340-1519
Mailing Address - Street 1:PO BOX 95
Mailing Address - Street 2:1223 MAIN ST
Mailing Address - City:SWAN QUARTER
Mailing Address - State:NC
Mailing Address - Zip Code:27885-1223
Mailing Address - Country:US
Mailing Address - Phone:252-926-4374
Mailing Address - Fax:252-926-5739
Practice Address - Street 1:30 OYSTER CREEK
Practice Address - Street 2:
Practice Address - City:SWANQUARTER
Practice Address - State:NC
Practice Address - Zip Code:27885
Practice Address - Country:US
Practice Address - Phone:910-694-3145
Practice Address - Fax:843-765-4994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
NC12233416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406767Medicaid
NC278070Medicare ID - Type Unspecified