COLERAIN RESCUE SQUAD INC; NPI #1649352998

Contact Information

COLERAIN RESCUE SQUAD INC

110 WINTON ST
COLERAIN, NC 27924

Phone: 252-356-2537
Fax: 252-977-7099
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Land Transport	3416L0300X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for COLERAIN RESCUE SQUAD INC

NPI # 1649352998

LBN Legal business name COLERAIN RESCUE SQUAD INC

Authorized official DUNCAN HUGHES - (CAPTAIN)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/19/2006

Last updated 10/22/2012 - About 14 years ago

Identifiers

NC	License #	1020
NC	Medicaid	3406895
NC	Other	0729X	BLUE CROSS BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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