Healthcare Provider Details

I. General information

NPI: 1649452533
Provider Name (Legal Business Name): NEW HANOVER REGIONAL EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2007
Last Update Date: 12/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 WRIGHTSVILLE AVE BUILDING J
WILMINGTON NC
28403-6510
US

IV. Provider business mailing address

PO BOX 9000
WILMINGTON NC
28402-9000
US

V. Phone/Fax

Practice location:
  • Phone: 910-343-4800
  • Fax: 310-452-8734
Mailing address:
  • Phone: 910-343-4800
  • Fax: 910-452-8734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number1156
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number1170
License Number StateNC

VIII. Authorized Official

Name: MS. BARBARA PASZTOR
Title or Position: VP - EMERGENCY SERVICES
Credential: RN
Phone: 910-343-4800