Provider Demographics
NPI:1144281858
Name:LINCOLN COUNTY
Entity type:Organization
Organization Name:LINCOLN COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ROMBS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:704-736-9385
Mailing Address - Street 1:PO BOX 863
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27023-0863
Mailing Address - Country:US
Mailing Address - Phone:800-814-5339
Mailing Address - Fax:336-766-1279
Practice Address - Street 1:720 JOHN HOWEL MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-3151
Practice Address - Country:US
Practice Address - Phone:704-736-9385
Practice Address - Fax:704-736-1923
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LINCOLN COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-03-31
Last Update Date:2009-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1548341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2782982Medicare PIN