Organization
COUNTY OF WILSON
Active
Other names
Wilson County EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WARREN COBB (EMS DIRECTOR)
(252) 265-5558
Entity
Organization
Contact information
Practice address
1817 GLENDALE DRIVE SW, WILSON, NC 27893-4401
(252) 265-5558
(252) 977-7099
Mailing address
P.O. BOX 429, LEWISVILLE, NC 27023-0429
(800) 814-5339
(252) 977-7099
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0726W
BLUE CROSS BLUE SHIELD
NC
05
—
3406677
—
NC
01
—
590011336
RAIL ROAD MEDICARE
NC
Enumeration date
10/20/2006
Last updated
07/10/2020
Update your record
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