Provider Demographics
NPI:1629178629
Name:ORANGE COUNTY
Entity Type:Organization
Organization Name:ORANGE COUNTY
Other - Org Name:ORANGE COUNTY EMS REVENUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JO
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-245-2725
Mailing Address - Street 1:200 SOUTH CAMERON STREET
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NC
Mailing Address - Zip Code:27278
Mailing Address - Country:US
Mailing Address - Phone:919-245-2728
Mailing Address - Fax:919-644-3332
Practice Address - Street 1:200 SOUTH CAMERON STREET
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NC
Practice Address - Zip Code:27278
Practice Address - Country:US
Practice Address - Phone:919-245-2728
Practice Address - Fax:919-644-3332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13253416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406929Medicaid
NC278137Medicare ID - Type UnspecifiedPROVIDER NUMBER