Healthcare Provider Details

I. General information

NPI: 1992779375
Provider Name (Legal Business Name): REGIONAL MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/14/2006
Last Update Date: 02/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 N CROATAN HWY
KITTY HAWK NC
27949-3990
US

IV. Provider business mailing address

5200 N CROATAN HWY
KITTY HAWK NC
27949-3990
US

V. Phone/Fax

Practice location:
  • Phone: 252-255-6026
  • Fax: 252-255-6032
Mailing address:
  • Phone: 252-255-6026
  • Fax: 252-255-6032

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number
License Number State

VIII. Authorized Official

Name: JANET JARRETT
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 252-255-6005