Organization
CUMBERLAND COUNTY EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALLY AINSWORTH (EMS DIRECTOR)
(910) 609-5618
Entity
Organization
Contact information
Practice address
610 GILLESPIE STREET, FAYETTEVILLE, NC 28306-1544
(910) 609-5600
(910) 678-7687
Mailing address
610 GILLESPIE STREET, FAYETTEVILLE, NC 28306-1544
(910) 609-5600
(910) 678-7687
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1067
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073EC
BCBSNC
NC
05
—
3406734
—
NC
Enumeration date
12/03/2008
Last updated
12/03/2008
Update your record
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