MEDICARE: CITY OF WASHINGTON FINANCE DIRECTOR

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	146N00000X	Basic Emergency Medical Technician	0070015	NC
2	341600000X	Ambulance	0070015	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0726A	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1275515272
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF WASHINGTON FINANCE DIRECTOR

Provider Business Mailing Address
First Line	:	PO BOX 1988
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-1988
Country	:	US
Telephone Number	:	252-975-9377
Fax Number	:	252-975-6048

Provider Business Practice Location Address
First Line	:	410 N MARKET ST
Second Line	:
City	:	WASHINGTON
State	:	NC
Zip	:	27889-4936
Country	:	US
Telephone Number	:	252-948-9400
Fax Number	:	252-975-6048

Authorized Official
Title or Position	:	CHIEF OF DEPARTMENT
Name	:	MR. ROBERT C. ROSE
Credential	:	CHIEF
Telephone Number	:	252-948-9400

Provider Enumeration Date	:	11/16/2005
Last Update Date	:	04/20/2010

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Directions to “CITY OF WASHINGTON FINANCE DIRECTOR ” Practice Location

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