Provider Demographics
NPI:1629015516
Name:CRAVEN COUNTY
Entity Type:Organization
Organization Name:CRAVEN COUNTY
Other - Org Name:CRAVEN COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FINANCE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:F
Authorized Official - Last Name:HEMPHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-636-6603
Mailing Address - Street 1:406 CRAVEN ST
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-4911
Mailing Address - Country:US
Mailing Address - Phone:252-636-6603
Mailing Address - Fax:252-636-6638
Practice Address - Street 1:406 CRAVEN ST
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-4911
Practice Address - Country:US
Practice Address - Phone:252-636-6603
Practice Address - Fax:252-636-6638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-01
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406786Medicaid
NC278129Medicare ID - Type Unspecified