Organization
ROWLAND RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY CARLYLE (CHIEF)
(910) 733-0461
Entity
Organization
Contact information
Practice address
302 N BOND ST, ROWLAND, NC 28383-9666
(910) 422-3093
(910) 422-3093
Mailing address
PO BOX 449, ROWLAND, NC 28383-0449
(910) 422-3093
(910) 422-3093
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1194
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073E9
BLUE CROSS/BLUE SHIELD
NC
05
—
3403808
—
NC
Enumeration date
09/30/2009
Last updated
11/11/2019
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