MEDICARE: JOHNSTON AMBULANCE SERVICE, INC.

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		NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590003478	OTHER	NC	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0724G	OTHER	NC	STATE HEALTH PLAN
3	0724G	OTHER	NC	BCBS PROVIDER NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427066703
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHNSTON AMBULANCE SERVICE, INC.

Provider Business Mailing Address
First Line	:	2803 US HIGHWAY 70 W
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27530-9559
Country	:	US
Telephone Number	:	919-736-3828
Fax Number	:	919-736-7088

Provider Business Practice Location Address
First Line	:	2803 US HIGHWAY 70 WEST
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27530-9559
Country	:	US
Telephone Number	:	919-736-3828
Fax Number	:	919-736-7088

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	AMY SUSANNE HARRIS
Credential	:
Telephone Number	:	919-736-3828

Provider Enumeration Date	:	08/03/2006
Last Update Date	:	07/21/2022

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Directions to “JOHNSTON AMBULANCE SERVICE, INC. ” Practice Location

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