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Contact Information

MECKLENBURG EMERGENCY MEDICAL SERVICES AGENCY
4425 WILKINSON BLVD
CHARLOTTE, NC28208
 Phone: 704-943-6000
 Fax: 704-943-6196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Land Transport

3416L0300X 59 Ambulance Service Provider
 

Ambulance

341600000X 59 Ambulance Service Provider
 

Emergency Medical Technician, Paramedic

146L00000X
Indicates primary specialty

NPI Profile & details for MECKLENBURG EMERGENCY MEDICAL SERVICES AGENCY

NPI Number 1336226034
LBN Legal business name MECKLENBURG EMERGENCY MEDICAL SERVICES AGENCY
Authorized official JOHN PETERSON - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 05/22/2023 - About 3 years ago
Identifiers
NC License # 0600621
NC Medicaid 3406780
NC Other 590011342 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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