Provider Demographics
NPI:1952406779
Name:ALAMANCE COUNTY GOVT
Entity Type:Organization
Organization Name:ALAMANCE COUNTY GOVT
Other - Org Name:ALAMANCE COUNTY EMERGENCY MEDICAL SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:ATKINS
Authorized Official - Last Name:VIPPERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-570-6796
Mailing Address - Street 1:PO BOX 27
Mailing Address - Street 2:296 E CRESCENT SQUARE DR
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-0027
Mailing Address - Country:US
Mailing Address - Phone:336-570-6796
Mailing Address - Fax:336-570-6375
Practice Address - Street 1:296 E CRESCENT SQUARE DR
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-0027
Practice Address - Country:US
Practice Address - Phone:336-570-6796
Practice Address - Fax:336-570-6375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406627Medicaid
NC278027Medicare PIN