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Organization

CITY OF SOUTHPORT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELANIE TREXLER (FINANCE DIRECTOR)
(910) 457-7906
Entity
Organization

Contact information

Practice address
1011 N HOWE ST, SOUTHPORT, NC 28461-3039
(910) 457-7915
(910) 457-7904
Mailing address
PO BOX 747, WHEELING, IL 60090-0747
(800) 244-2354
(800) 329-5274

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3406660
NC
Enumeration date
06/01/2006
Last updated
08/05/2016
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