Organization
COASTAL AMBULANCE CO.,INC
Active
Organization
COASTAL AMBULANCE CO.,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. H.STEVEN PRIDGEN TEACHER,PARAMEDIC (OWNER/DIRECTOR)
(910) 324-6304
Entity
Organization
Contact information
Practice address
194 THOMAS LOOP RD, JACKSONVILLE, NC 28540-8518
(910) 324-6304
(910) 324-3040
Mailing address
194 THOMAS LOOP RD, JACKSONVILLE, NC 28540-8518
(910) 324-6304
(910) 324-3040
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
0520902
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406781
—
NC
Enumeration date
06/25/2006
Last updated
08/22/2020
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