Organization
COLERAIN RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUNCAN PERRY HUGHES (CAPTAIN)
(252) 724-2970
Entity
Organization
Contact information
Practice address
110 WINTON ST, COLERAIN, NC 27924
(252) 356-2537
(252) 977-7099
Mailing address
P.O. BOX 397, COLERAIN, NC 27924-0397
(252) 356-2537
(252) 977-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1020
NC
3416L0300X
Land Ambulance
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0729X
BLUE CROSS BLUE SHIELD
NC
05
—
3406895
—
NC
Enumeration date
10/19/2006
Last updated
10/22/2012
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