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TAR HEEL VOLUNTEER RESCUE SQUAD NPI 1710916499


NPI Information

NPI: 1710916499
Provider Name: TAR HEEL VOLUNTEER RESCUE SQUAD

Doing Business As: TAR HEEL RESCUE SQUAD

Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
14871 NC HIGHWAY 87 E
TAR HEEL, NC
ZIP 28392
Phone: (910) 862-4314
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TAR HEEL VOLUNTEER RESCUE SQUAD is a land transport ambulance in Tar Heel, NC. TAR HEEL VOLUNTEER RESCUE SQUAD NPI is 1710916499. The provider is registered as an organization entity type.
The provider Is Doing Business As Tar Heel Rescue Squad.

The provider's business location address is:

14871 NC HIGHWAY 87 E
TAR HEEL, NC
ZIP 28392-420
Phone: (910) 862-4314
Fax: (910) 862-4314

The provider's authorized official is Gladwin L Priest .
The authorized official title is Chief and has the following contact phone number (910) 862-7613.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 4/19/2011.


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 TransportNORTH 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
12782102MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA
23406771MEDICAIDNORTH 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

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