Organization
COATS GROVE FIRE & RESCUE INC
Active
Parent organization
HARNETT COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARNETT COUNTY
Authorized official
MR. KEVIN L JERNIGAN (CHIEF)
(910) 897-7575
Entity
Organization
Contact information
Practice address
91 N MCKINNLEY STREET, COATS, NC 27521
(910) 897-7575
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
1285
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0726L
BLUE CROSS PROVIDER ID
NC
05
—
3406741
—
NC
01
—
590013110
RR MEDICARE PROV. ID
NC
Enumeration date
04/05/2006
Last updated
04/11/2011
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