Organization
BOONE TRAIL EMERGENCY SERVICES INC
Active
Parent organization
HARNETT COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARNETT COUNTY
Authorized official
TONY CURRIN (RESCUE CHIEF)
(910) 893-3750
Entity
Organization
Contact information
Practice address
7016 US 421 SOUTH, LILLINGTON, NC 27546
(910) 893-3750
Mailing address
PO BOX 760, LILLINGTON, NC 27546-0760
(910) 893-7565
(910) 893-3445
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1412
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0726F
BLUE CROSS PROVIDER ID
NC
05
—
3406746
—
NC
01
—
590013108
RR MEDICARE PROV. ID
NC
Enumeration date
04/05/2006
Last updated
02/10/2010
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