Provider Demographics
NPI:1649452533
Name:NEW HANOVER REGIONAL EMS
Entity type:Organization
Organization Name:NEW HANOVER REGIONAL EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP - EMERGENCY SERVICES
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:PASZTOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:910-343-4800
Mailing Address - Street 1:PO BOX 9000
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28402-9000
Mailing Address - Country:US
Mailing Address - Phone:910-343-4800
Mailing Address - Fax:910-452-8734
Practice Address - Street 1:5301 WRIGHTSVILLE AVE
Practice Address - Street 2:BUILDING J
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28403-6510
Practice Address - Country:US
Practice Address - Phone:910-343-4800
Practice Address - Fax:310-452-8734
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW HANOVER REGIOANL MEDICAL CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11703416A0800X
NC1156341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406970Medicaid