Provider Demographics
NPI:1184771479
Name:COUNTY OF JONES
Entity type:Organization
Organization Name:COUNTY OF JONES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:PIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-448-1697
Mailing Address - Street 1:PO BOX 276
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NC
Mailing Address - Zip Code:28585-0276
Mailing Address - Country:US
Mailing Address - Phone:252-448-1697
Mailing Address - Fax:252-448-1905
Practice Address - Street 1:794 HIGHWAY 58 SOUTH
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NC
Practice Address - Zip Code:28585-0000
Practice Address - Country:US
Practice Address - Phone:252-448-1697
Practice Address - Fax:252-448-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2011-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0725JOtherBCBSNC
NC3406891Medicaid
NC0725JOtherBCBSNC
=========OtherTRICARE