Provider Demographics
NPI:1952306862
Name:STOKES COUNTY EMS
Entity Type:Organization
Organization Name:STOKES COUNTY EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MONTY
Authorized Official - Middle Name:D
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-593-2427
Mailing Address - Street 1:PO BOX 20
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:NC
Mailing Address - Zip Code:27016-0020
Mailing Address - Country:US
Mailing Address - Phone:336-593-2423
Mailing Address - Fax:336-593-4017
Practice Address - Street 1:1012 MAIN STREET
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:NC
Practice Address - Zip Code:27016-0020
Practice Address - Country:US
Practice Address - Phone:336-593-2423
Practice Address - Fax:336-593-4017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12033416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406700Medicaid
NC3406700Medicaid