Organization
NORTH JOHNSTON EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER JUDKINS (SUPERVISOR)
(919) 284-4174
Entity
Organization
Contact information
Practice address
104 WEST MAIN ST, MICRO, NC 27555
(919) 284-4174
Mailing address
PO BOX 321, MICRO, NC 27555-0321
(919) 284-4174
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406799
—
NC
Enumeration date
06/14/2006
Last updated
08/22/2020
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