Organization
COASTLINE VOLUNTEER RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PINTA B TODD (DIRECTOR)
(910) 842-2266
Entity
Organization
Contact information
Practice address
3027 HOLDEN BEACH RD SW, SUPPLY, NC 28462-5709
(910) 842-2266
(910) 846-2251
Mailing address
PO BOX 24, SUPPLY, NC 28462-0024
(910) 842-2266
(910) 846-2251
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406685
—
NC
Enumeration date
06/01/2006
Last updated
08/22/2020
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