Organization
CAVALRY MEDICAL TRANSPORT,INC
Active
Other names
CAVALRY MEDICAL TRANSPORT
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ROGERS VP (VP OF BENEFITS AND RECEIVABLES)
(336) 725-1031
Entity
Organization
Contact information
Practice address
1095 FAIRCHILD RD, WINSTON SALEM, NC 27105-4525
(336) 725-1031
(336) 725-9191
Mailing address
1095 FAIRCHILD RD, WINSTON SALEM, NC 27105-4525
(336) 725-1031
(336) 725-9191
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1561
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3406842
—
NC
Enumeration date
05/27/2005
Last updated
08/03/2007
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