| Organization Name: | CHOCOWINITY EMS |
| NPI Number: | 1891877171 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHANE GRIER (CAPTAIN) |
| Mailing Address: | 5820 Us Highway 17 S Chocowinity |
| State: | NC US |
| Postal Code: | 278178368 |
| Phone Number: | 2529482446 |
| Fax Number: | 2529480423 |
| NPI Enumeration Date: | 10/19/2006 |
| NPI Last Update Date: | 12/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |