Organization
ERWIN FIRE DEPARTMENT & RESCUE SQUAD INC
Active
Parent organization
HARNETT COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARNETT COUNTY
Authorized official
RICKY W BLACKMON (CHIEF)
(910) 897-8151
Entity
Organization
Contact information
Practice address
200 S 13TH ST, ERWIN, NC 28339-1706
(910) 897-8151
Mailing address
PO BOX 760, LILLINGTON, NC 27546-0760
(910) 893-7565
(910) 893-3445
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1286
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0726N
BLUE CROSS PROVIDER ID
NC
05
—
3406740
—
NC
01
—
590013024
RR MEDICARE PROV. ID
NC
Enumeration date
03/31/2006
Last updated
02/10/2010
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