Provider Demographics
NPI:1508247610
Name:PRIORITY CARE AMBULANCE INC.
Entity Type:Organization
Organization Name:PRIORITY CARE AMBULANCE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MASONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-627-5562
Mailing Address - Street 1:5116 BUR OAK CIR STE 100
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-3101
Mailing Address - Country:US
Mailing Address - Phone:919-627-5562
Mailing Address - Fax:800-320-4799
Practice Address - Street 1:5116 BUR OAK CIR STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-3101
Practice Address - Country:US
Practice Address - Phone:919-627-5562
Practice Address - Fax:800-320-4799
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC18673416L0300X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1508247610Medicaid
NC1508247610Medicaid