Look up the most recent NPI and PECOS records

Bertie Ambulance Service Inc

Ambulance

Transportation Services

PECOS Enrollment

Based on the most recent information from CMS, provider Bertie Ambulance Service Inc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1780631424
Provider Type
Organization
Full Name
Bertie Ambulance Service Inc

Subpart
No
Enumeration Date
5/28/2006
Last Updated
2/21/2012

Contact Information

Practice Location

606 S King St, Windsor, NC 27983-1422

(252) 794-9141

(252) 794-9127

Mailing Location

PO Box 555, Windsor, NC 27983-0555

(252) 794-9141

(252) 794-9127

Authorized Official

Lipscomb, Edward Lee (Owner)

(252) 794-9141

Provider Taxonomies

Code	Description	License
Code 3416L0300X Primary	Description Ambulance Transportation Services	License 1463 North Carolina
Code 341600000X	Description Ambulance Transportation Services	License 1463 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 0724Y	Description Other	Issuer BCBS OF NC North Carolina
ID 3403886	Description Medicaid	Issuer Unlisted North Carolina

Bertie Ambulance Service Inc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Bertie County Rescue Squad, Inc

Elite Medical Transport Inc

Coastal Medical Transport, Inc

White Oak Medical Transport

County Of Bertie