Organization
IREDELL COUNTY RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONNIE PERRY (CHIEF/PRESIDENT)
(704) 872-8192
Entity
Organization
Contact information
Practice address
1902 WILKESBORO HWY, STATESVILLE, NC 28625-8737
(704) 872-8192
(704) 838-0343
Mailing address
PO BOX 781, STATESVILLE, NC 28687-0781
(704) 872-8192
(704) 838-0343
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406957
—
NC
Enumeration date
06/03/2006
Last updated
07/18/2012
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