Healthcare Provider Details

I. General information

NPI: 1952306862
Provider Name (Legal Business Name): STOKES COUNTY EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 MAIN STREET
DANBURY NC
27016-0020
US

IV. Provider business mailing address

PO BOX 20
DANBURY NC
27016-0020
US

V. Phone/Fax

Practice location:
  • Phone: 336-593-2423
  • Fax: 336-593-4017
Mailing address:
  • Phone: 336-593-2423
  • Fax: 336-593-4017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number1203
License Number StateNC

VIII. Authorized Official

Name: MR. MONTY D. STEVENS
Title or Position: DIRECTOR
Credential:
Phone: 336-593-2427