Healthcare Provider Details

I. General information

NPI: 1568303667
Provider Name (Legal Business Name): COUNTY OF PENDER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

805 RIDGEWOOD AVE
BURGAW NC
28425-5111
US

IV. Provider business mailing address

PO BOX 863
LEWISVILLE NC
27023-0863
US

V. Phone/Fax

Practice location:
  • Phone: 910-259-0986
  • Fax: 910-259-9098
Mailing address:
  • Phone: 910-259-0986
  • Fax: 336-791-0196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MARGARET BLUE
Title or Position: ASSISTANT COUNTY MANAGER
Credential:
Phone: 910-259-1407