Organization
PENDER EMS AND FIRE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WOODROW WILSON SULLIVAN III (CHIEF)
(910) 675-9166
Entity
Organization
Contact information
Practice address
805 RIDGEWOOD AVE, BURGAW, NC 28425-5111
(910) 675-9198
(910) 675-9169
Mailing address
PO BOX 650, ROCKY POINT, NC 28457-0650
(910) 675-9198
(910) 675-9169
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1578
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07294
BCBS OF NC
NC
05
—
3406947
—
NC
Enumeration date
10/05/2006
Last updated
01/06/2026
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