HERBERT STEVEN PRIDGEN NPI 1013070382

NPI Information

  • NPI: 1013070382
  • Provider Name: HERBERT STEVEN PRIDGEN
  • Classification: Ambulance - 3416L0300X
  • Specialization: Land Transport
  • Entity Type: Organization
  • Doing Business As: COASTAL AMBULANCE SERVICE
  • Address: 705 GRANTS CREEK RD
    JACKSONVILLE, NC
    ZIP 28546
  • Phone: (910) 577-1846

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NPI Details

HERBERT STEVEN PRIDGEN is a land transport ambulance in Jacksonville, NC. HERBERT STEVEN PRIDGEN NPI is 1013070382. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastal Ambulance Service.

The provider's business location address is:

705 GRANTS CREEK RD
JACKSONVILLE, NC
ZIP 28546-644
Phone: (910) 577-1846
Fax: (910) 577-3429

The provider's authorized official is Patricia Jarman Pridgen .
The authorized official title is Treasurer and has the following contact phone number (910) 577-1846.

The enumeration date for this NPI number is 12/18/2006 and was last updated on 10/22/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13416L0300XAmbulanceLand Transport1253NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13406781MEDICAIDNORTH CAROLINA
22782056MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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