Provider Demographics
NPI:1750463873
Name:COUNTY OF WARREN
Entity Type:Organization
Organization Name:COUNTY OF WARREN
Other - Org Name:WARREN COUNTY EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIVISION CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:TUCKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-257-1191
Mailing Address - Street 1:PO BOX 859
Mailing Address - Street 2:
Mailing Address - City:WARRENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27589-0859
Mailing Address - Country:US
Mailing Address - Phone:252-257-1191
Mailing Address - Fax:252-257-4779
Practice Address - Street 1:890 U S HWY 158 BY-PASS
Practice Address - Street 2:
Practice Address - City:WARRENTON
Practice Address - State:NC
Practice Address - Zip Code:27589-0859
Practice Address - Country:US
Practice Address - Phone:252-257-1191
Practice Address - Fax:252-257-4779
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC590008381OtherRAIL ROAD MEDICARE
NC07268OtherBLUE CROSS BLUE SHIELD
NC3406607Medicaid
NC278048Medicare ID - Type Unspecified