Organization
BLUE RIDGE MEDICAL TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE E POE (SECRETARY TREASURER)
(336) 246-2768
Entity
Organization
Contact information
Practice address
223 MORPHEW LANE, JEFFERSON, NC 28640-0672
(336) 246-2768
(336) 246-9803
Mailing address
PO BOX 672, JEFFERSON, NC 28640-0672
(336) 246-2768
(336) 246-9803
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1398
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0724W
BCBS
—
05
—
3406723
—
NC
01
—
495744
UMW
—
Enumeration date
01/24/2006
Last updated
08/22/2020
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