HERBERT STEVEN PRIDGEN (NPI# 1013070382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013070382 |
| Entity Type | Organization |
| Organization Name | HERBERT STEVEN PRIDGEN |
| Other Organization Name | COASTAL AMBULANCE SERVICE |
| Practice Address |
705 Grants Creek Rd Jacksonville NC 28546-9644 |
| Practice Telephone | 9105771846 |
| Practice Fax Number | 9105773429 |
| Mailing Telephone | 9105771846 |
| Mailing Fax Number | 9105773429 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-10-22 |
| Authorized Official Name | MRS. PATRICIA JARMAN PRIDGEN (TREASURER) |
| Authorized Official Telephone | 9105771846 |
| Authorized Official Credential | EMT I, CFO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1253 | NC | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3406781 | 05 |
| Other Name | Type Code |
|---|---|
| COASTAL AMBULANCE SERVICE | Doing Business As Name - Organization |
| Street Address |
705 GRANTS CREEK RD |
| City | JACKSONVILLE |
| State | NC |
| Zip Code | 28546-9644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316578388 | Judylyn Hobson | Registered Nurse | Pride In North Carolina, LLC, 3886 Henderson Dr, Jacksonville, NC 28546 | 2020-01-29 |
| 1427694637 | Aaron Patrick Bettcher | Military Health Care Provider | 3rd Mrb Loop Rd, Camp Lejeune, NC 28546 | 2019-11-22 |
| 1962044289 | Levi Scott Marshall | Military Health Care Provider | Everett Creek Road, Building 612, Camp Lejeune, NC 28546 | 2019-10-09 |
| 1649826652 | Nicholas Otazo | Military Health Care Provider | 3rd Mrb 20073, Camp Lejeune, NC 28546 | 2019-08-15 |
| 1417519570 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 2001 Marlin Drive Unit 100, Jacksonville, NC 28546 | 2019-06-28 |
| 1023500212 | Josip Ninrodriguez | Military Health Care Provider | 3d Marine Raider Battaliom, Camp Lejeune, NC 28546 | 2018-06-04 |
| 1639661192 | Kenneth Lee Russell | Military Health Care Provider | 3d Marine Raider Battalion, Camp Lejeune, NC 28546 | 2018-05-31 |
| 1346730173 | Coastal Foot Center, LLC | Clinic/Center | 29 Office Park Dr Ste B, Jacksonville, NC 28546 | 2018-05-17 |
| 1578080271 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 380 Western Blvd, Jacksonville, NC 28546 | 2017-08-24 |
| 1144757493 | Darin Lee Peterson | Specialist/Technologist | G644 Camp Geiger, School of Infantry-east, Jacksonville, NC 28546 | 2017-05-17 |
| Find all providers in zip 28546 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008977 | Ameripro Ems of Florida, LLC | Ambulance | 4810 Executive Park Ct Ste 112, Jacksonville, FL 32216-6018 | 2019-11-20 |
| 1265097513 | Mayo Clinic Jacksonville | Ambulance | 13970 Zumbro Dr, Jacksonville, FL 32224 | 2019-05-02 |
| 1841763984 | Kindred Care Ems LLC | Ambulance | 6824 Norwood Ave, Jacksonville, FL 32208-4471 | 2019-01-10 |
| 1477942050 | Jax Patient Care | Ambulance | 100 Wharfside Way # A, Jacksonville, FL 32207-8104 | 2015-01-20 |
| 1245488857 | Village of South Jacksonville | Ambulance | 301 Dewey Dr, Jacksonville, IL 62650-3206 | 2008-09-08 |
| 1679662886 | Ambulance Service, Inc. | Ambulance | 5995 Philips Hwy, Jacksonville, FL 32216-5916 | 2006-10-12 |
| 1720027147 | County of Onslow | Ambulance | 1180 Commons Dr N, Jacksonville, NC 28546-6965 | 2006-06-05 |
| 1932153335 | Century Ambulance Service, Inc. | Ambulance | 2110 Herschel St, Jacksonville, FL 32204-3820 | 2006-05-20 |
| 1902895055 | City of Jacksonville | Ambulance | 900 N Redmond Rd, Jacksonville, AR 72076-3623 | 2005-10-20 |
| 1730188673 | City of Jacksonville | Ambulance | 506 Chinabee Ave Se, Jacksonville, AL 36265-2881 | 2005-07-20 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 28546 |
Please comment or provide details below to improve the information on HERBERT STEVEN PRIDGEN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.