Organization
CLEVELAND COUNTY LIFE SAVING AND RESCUE SQUAD INC
Active
Other names
Kings Mountain Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN W HARRIS JR. (CAPTAIN)
(704) 739-2077
Entity
Organization
Contact information
Practice address
312 E PARKER ST, KINGS MOUNTAIN, NC 28086-3025
(704) 739-2077
(704) 739-2995
Mailing address
1324 SHELBY RD, KINGS MOUNTAIN, NC 28086-2628
(704) 739-2077
(704) 739-2995
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073C2
BCBSNC
NC
05
—
3406922
—
NC
Enumeration date
11/01/2006
Last updated
11/24/2014
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