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Organization

BERTIE COUNTY RESCUE SQUAD, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER OUTLAW (PRESIDENT)
(252) 794-2007
Entity
Organization

Contact information

Practice address
208 E GRANVILLE ST, WINDSOR, NC 27983-6704
(252) 794-2007
(252) 794-2007
Mailing address
PO BOX 74, WINDSOR, NC 27983-0074
(252) 794-2007
(252) 794-2007

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3406678
NC
Enumeration date
05/25/2007
Last updated
07/26/2007
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