Organization
WASHINGTON REGIONAL MEDICAL CENTER
Active
Other names
Washington Co Hospital Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK TITUS AVIGNONE IV (CEO)
(214) 502-9624
Entity
Organization
Contact information
Practice address
958 US HIGHWAY 64 E, PLYMOUTH, NC 27962-9216
(252) 793-4135
(252) 793-1530
Mailing address
7920 BELT LINE RD STE 215, DALLAS, TX 75254-8155
(214) 502-9624
(252) 793-1530
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00573
BCBSNC AMBULANCE
—
05
—
3406631
—
NC
01
—
566003224
COMMERCIAL AMBULANCE
—
01
—
566003224001
CHAMPUS AMBULANCE
—
Enumeration date
06/07/2006
Last updated
05/11/2020
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