Organization
AMERATECH OF NORTH CAROLINA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALECIA JACOBS-PIKE (OWNER)
(910) 655-8332
Entity
Organization
Contact information
Practice address
784 JACOBS RD, BOLTON, NC 28423-8924
(910) 655-8332
(910) 655-8323
Mailing address
PO BOX 863, LEWISVILLE, NC 27023-0863
(336) 766-4448
(336) 766-1279
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0727R
BCBS
NC
05
—
3406748
—
NC
Enumeration date
05/28/2006
Last updated
01/07/2010
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