Provider Demographics
NPI:1588626519
Name:COUNTY OF HARNETT
Entity Type:Organization
Organization Name:COUNTY OF HARNETT
Other - Org Name:HARNETT COUNTY EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HONEYCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-814-6093
Mailing Address - Street 1:PO BOX 760
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-0760
Mailing Address - Country:US
Mailing Address - Phone:910-893-7565
Mailing Address - Fax:910-893-3445
Practice Address - Street 1:1005 EDWARDS BROTHERS DR
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-9527
Practice Address - Country:US
Practice Address - Phone:910-893-7563
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-05
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11153416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC406590914OtherRAILROAD MCARE. PROV. ID
NC3406762Medicaid
NC07236OtherBLUE CROSS PROVIDER ID
NC3406762Medicaid