Organization
COUNTY OF SURRY & SURRY COUNTY WELFARE DEPARTMENT
Active
Other names
Surry County Emergency Services
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE N GRAY (ADMINISTRATIVE ASSISTANT)
(336) 783-9000
Entity
Organization
Contact information
Practice address
1218 STATE ST, SUITE 500, MOUNT AIRY, NC 27030-5001
(336) 783-9000
(336) 783-9010
Mailing address
1218 STATE ST, SUITE 500, MOUNT AIRY, NC 27030-5001
(336) 783-9000
(336) 783-9010
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
009010246
VIRGINIA MEDICAID
VI
01
—
0723C
BLUE CROSS & BLUE SHIELD
NC
01
—
1204
ALL OTHER INSURANCE CO
—
05
—
3406709
—
NC
01
—
590921218
RAILROAD MEDICARE
NC
01
—
V187AMB
PARTNERS INS & MEDICARE
NC
Enumeration date
07/07/2005
Last updated
08/18/2016
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