Organization
MED 1 INTER-FACILITY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH WILSON BUTLER (COO)
(252) 215-5254
Entity
Organization
Contact information
Practice address
220 FORLINES RD, WINTERVILLE, NC 28590-8509
(252) 215-5254
(252) 215-5261
Mailing address
PO BOX 2195, 220 FORLINES RD, WINTERVILLE, NC 28590-2195
(252) 215-5254
(252) 215-5261
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1536
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406858
—
NC
Enumeration date
01/25/2007
Last updated
06/11/2008
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