Organization
CITY OF GREENVILLE
Active
Other names
CITY OF GREENVILLE EMS, GREENVILLE FIRE RESCUE
Organization subpart
No
Provider details
NPI number
Authorized official
MITCH GIBBS (FINANCE MANAGER)
(252) 329-4644
Entity
Organization
Contact information
Practice address
500 S GREEN ST, GREENVILLE, NC 27834-1502
(252) 329-4609
Mailing address
PO BOX 7207, GREENVILLE, NC 27835-7207
(252) 329-4449
(252) 329-4165
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07252
BLUE CROSS BLUE SHIELD
NC
01
—
154387200
US DEPT OF LABOR
NC
01
—
3339854
CIGNA HEALTHCARE OF NC
NC
05
—
3406860
—
NC
Enumeration date
07/15/2005
Last updated
05/28/2024
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