Organization
ROANOKE MEDICAL TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI H LEGGETT (OWNER)
(252) 789-4950
Entity
Organization
Contact information
Practice address
322 S MCCASKEY RD, WILLIAMSTON, NC 27892-2150
(252) 789-4950
Mailing address
PO BOX 1005, 415 EAST BLVD, WILLIAMSTON, NC 27892-1005
(252) 789-4950
(252) 792-0993
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0581264
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073CA
BCBS
NC
05
—
3406816
—
NC
Enumeration date
03/05/2007
Last updated
07/22/2024
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