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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