Organization
JOHNSTON AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY SUSANNE HARRIS (BILLING MANAGER)
(919) 736-3828
Entity
Organization
Contact information
Practice address
2803 US HIGHWAY 70 WEST, GOLDSBORO, NC 27530-9559
(919) 736-3828
(919) 736-7088
Mailing address
2803 US HIGHWAY 70 W, GOLDSBORO, NC 27530-9559
(919) 736-3828
(919) 736-7088
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0724G
STATE HEALTH PLAN
NC
05
—
3406808
—
NC
01
—
590003478
MEDICARE RAILROAD
NC
Enumeration date
08/03/2006
Last updated
07/21/2022
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