Organization
GASTON VOLUNTEER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY SUMMERLIN (FINANCIAL)
(252) 535-2173
Entity
Organization
Contact information
Practice address
224 CRAIG STREET, GASTON, NC 27832-0699
(252) 535-2173
(252) 535-4226
Mailing address
PO BOX 25863, WINSTON SALEM, NC 27114-5863
(336) 946-1766
(336) 946-1768
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1392
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073EE
BCBS
NC
05
—
3406956
—
NC
Enumeration date
11/26/2007
Last updated
10/19/2016
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