MEDICARE: DARE COUNTY ADMINISTRATIVE OFFICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	1002	NC
2	3416A0800X	Air Ambulance
3	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0723W	OTHER	NC	BCBS NC
2	099460	OTHER	VA	ANTHEM
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	220506	OTHER	VA	CAREFIRST
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144223330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARE COUNTY ADMINISTRATIVE OFFICES

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:
City	:	MANTEO
State	:	NC
Zip	:	27954-1000
Country	:	US
Telephone Number	:	252-475-5712
Fax Number	:

Provider Business Practice Location Address
First Line	:	1632 N CROATAN HWY
Second Line	:
City	:	KILL DEVIL HILLS
State	:	NC
Zip	:	27948-9258
Country	:	US
Telephone Number	:	252-475-5710
Fax Number	:

Authorized Official
Title or Position	:	FINANCE DIRECTOR
Name	:	MR. DAVID CLAWSON
Credential	:
Telephone Number	:	252-475-5731

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	10/02/2024

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Directions to “DARE COUNTY ADMINISTRATIVE OFFICES ” Practice Location

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