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NPI Code Detail

MEDICARE: COUNTY OF WILSON

MEDICARE: COUNTY OF WILSON
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
13416L0300XLand AmbulanceNC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1590011336OTHERNCRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
20726WOTHERNCBLUE CROSS BLUE SHIELD
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932281540
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF WILSON
Provider Business Mailing Address
First Line : P.O. BOX 429
Second Line :
City : LEWISVILLE
State : NC
Zip : 27023-0429
Country : US
Telephone Number : 800-814-5339
Fax Number : 252-977-7099
Provider Business Practice Location Address
First Line : 1817 GLENDALE DRIVE SW
Second Line :
City : WILSON
State : NC
Zip : 27893-4401
Country : US
Telephone Number : 252-265-5558
Fax Number : 252-977-7099
Authorized Official
Title or Position : EMS DIRECTOR
Name : MICHAEL WARREN COBB
Credential :
Telephone Number : 252-265-5558
Provider Enumeration Date : 10/20/2006
Last Update Date : 07/10/2020

Similar Medicare Providers

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Practice Location Address:
1801 GLENDALE DR SW
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Practice Fax:
1457357048 — COUNTY OF WILSON
Practice Location Address:
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1467507640 — COUNTY OF WILSON
Practice Location Address:
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1376698555 — COUNTY OF WILSON
Practice Location Address:
1801 GLENDALE DR SW
WILSON, NC
27893-4401
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Practice Fax: 252-293-8300
1568517746 — COUNTY OF WILSON
Practice Location Address:
1801 GLENDALE DR SW
WILSON, NC
27893-4401
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1457496747 — DR. JERRY WILLIAM WILEY M.D.
Practice Location Address:
1801 GLENDALE DR SW
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27893-4401
Practice Phone: 252-237-3141
Practice Fax: 252-293-8301

Directions to “COUNTY OF WILSON ” Practice Location

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