Provider Demographics
NPI:1972685584
Name:COUNTY OF EDGECOMBE OFFICE OF AUDITOR
Entity Type:Organization
Organization Name:COUNTY OF EDGECOMBE OFFICE OF AUDITOR
Other - Org Name:EDGECOMBE COUNTY EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:EASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-883-8566
Mailing Address - Street 1:201 SAINT ANDREW ST
Mailing Address - Street 2:
Mailing Address - City:TARBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27886-5198
Mailing Address - Country:US
Mailing Address - Phone:252-883-8566
Mailing Address - Fax:
Practice Address - Street 1:201 SAINT ANDREW ST
Practice Address - Street 2:
Practice Address - City:TARBORO
Practice Address - State:NC
Practice Address - Zip Code:27886-5198
Practice Address - Country:US
Practice Address - Phone:252-641-1615
Practice Address - Fax:843-765-4994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC07242OtherBLUE CROSS BLUE SHIELD
NC3406882Medicaid
NC3406882Medicaid