BUCKHEAD VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC NPI 1215984075

NPI Information

NPI: 1215984075
Provider Name: BUCKHEAD VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC

Doing Business As: BUCKHEAD FIRE & RESCUE

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
6810 OLD LAKE RD
BOLTON, NC
ZIP 28423
Phone: (910) 655-8332
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BUCKHEAD VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC is a land transport ambulance in Bolton, NC. BUCKHEAD VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC NPI is 1215984075. The provider is registered as an organization entity type.
The provider Is Doing Business As Buckhead Fire & Rescue.

The provider's business location address is:

6810 OLD LAKE RD
BOLTON, NC
ZIP 28423-958
Phone: (910) 655-8332
Fax: (724) 887-9440

The provider's authorized official is Stefan Jacobs .
The authorized official title is Chief and has the following contact phone number (910) 655-8940.

The enumeration date for this NPI number is 5/27/2006 and was last updated on 12/8/2022.

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
1	3416L0300X	Ambulance	Land Transport		NORTH CAROLINA	Yes

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
1	3406779	MEDICAID	NORTH 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: 5/5/2024

NPI Synchronization or Removal

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