Organization
ANDERSON CREEK EMERGENCY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J WILSON (CHIEF)
(910) 497-0395
Entity
Organization
Contact information
Practice address
2980 RAY RD, SPRING LAKE, NC 28390-7801
(910) 497-0395
Mailing address
200 N 13TH ST, SUITE 19A, ERWIN, NC 28339-1700
(910) 893-7563
(910) 814-2570
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1114
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0727C
BLUE CROSS PROVIDER ID
NC
05
—
3406773
—
NC
01
—
590013041
RR MEDICARE PROV ID
NC
Enumeration date
03/31/2006
Last updated
02/24/2010
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