Organization
MECKLENBURG EMERGENCY MEDICAL SERVICES AGENCY
Active
Other names
Medic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN PETERSON (EXECUTIVE DIRECTOR)
(704) 943-6400
Entity
Organization
Contact information
Practice address
4425 WILKINSON BLVD, CHARLOTTE, NC 28208
(704) 943-6000
(704) 943-6196
Mailing address
PO BOX 741033, ATLANTA, GA 30374-1033
(704) 943-6400
(704) 943-6196
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
0600621
NC
341600000X
Ambulance
0600621
NC
3416L0300X
Land Ambulance
Primary
0600621
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406780
—
NC
01
—
590011342
RAILROAD MEDICARE
NC
Enumeration date
11/01/2006
Last updated
05/22/2023
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