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Organization

EASTERN WAKE EMS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GARLAND TANT (CHIEF)
(919) 365-1601
Entity
Organization

Contact information

Practice address
401 E 3RD ST, WENDELL, NC 27591-9745
(919) 365-1601
(919) 365-1602
Mailing address
PO BOX 863, LEWISVILLE, NC 27023-0863
(800) 814-5339
(336) 766-1279

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
1215
NC
3416L0300X
Land Ambulance
Primary
1215
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07289
BCBS OF NC
NC
05
3406657
NC
Enumeration date
10/28/2005
Last updated
09/11/2025
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