Provider Demographics
NPI:1508919069
Name:COUNTY OF DUPLIN
Entity Type:Organization
Organization Name:COUNTY OF DUPLIN
Other - Org Name:DUPLIN COUNTY EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF EMERGENCY SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCMAHON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-372-9212
Mailing Address - Street 1:PO BOX 909
Mailing Address - Street 2:209 SEMINARY STREET
Mailing Address - City:KENANSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28349-0909
Mailing Address - Country:US
Mailing Address - Phone:910-296-2160
Mailing Address - Fax:910-296-2164
Practice Address - Street 1:209 SEMINARY STREET
Practice Address - Street 2:
Practice Address - City:KENANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28349-0000
Practice Address - Country:US
Practice Address - Phone:910-296-2160
Practice Address - Fax:910-296-2164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0310103146L00000X
NC1079341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07250OtherBLUE CROSS BLUE SHIELD
NC3406618Medicaid
NC07250OtherBLUE CROSS BLUE SHIELD