Organization
LEWISTON WOODVILLE VOLUNTEER FIRE AND EMS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM TAYLOR WIGGINS (CAPTAIN)
(252) 348-2658
Entity
Organization
Contact information
Practice address
103 WEST CHURCH STREET, LEWISTON WOODVILLE, NC 27849
(252) 348-2658
(252) 348-2608
Mailing address
PO BOX 431, LEWISTON WOODVILLE, NC 27849-0431
(252) 348-2658
(252) 348-2608
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0080021
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0729W
BLUE CROSS/BLUE SHIELD
NC
05
—
3406896
—
NC
01
—
3834522
CIGNA
—
Enumeration date
07/07/2005
Last updated
04/20/2008
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