Organization
SIX FORKS RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS B JEFFRIES (CHIEF)
(919) 848-8999
Entity
Organization
Contact information
Practice address
1431 LYNN RD, RALEIGH, NC 27612-2427
(919) 848-8999
(919) 847-9721
Mailing address
PO BOX 863, LEWISVILLE, NC 27023-0863
(800) 814-5339
(336) 766-1279
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
1220
NC
3416L0300X
Land Ambulance
Primary
1220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07288
BCBS OF NC
NC
05
—
3406790
—
NC
Enumeration date
10/28/2005
Last updated
09/11/2025
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