Provider Demographics
NPI:1437159613
Name:COUNTY OF DURHAM FINANCE DEPT
Entity Type:Organization
Organization Name:COUNTY OF DURHAM FINANCE DEPT
Other - Org Name:DURHAM COUNTY EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SKIP
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRKWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-560-8206
Mailing Address - Street 1:402 STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27704-2779
Mailing Address - Country:US
Mailing Address - Phone:919-560-8206
Mailing Address - Fax:919-560-8286
Practice Address - Street 1:402 STADIUM DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-2779
Practice Address - Country:US
Practice Address - Phone:919-560-8206
Practice Address - Fax:919-560-8286
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF DURHAM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-28
Last Update Date:2013-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC03204683416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406666Medicaid
NC2782652Medicare UPIN
NC3406666Medicaid