Healthcare Provider Details

I. General information

NPI: 1306884002
Provider Name (Legal Business Name): NAKINA FIRE & RESCUE SQUAD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 03/29/2024
Certification Date: 03/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 RAMSEY FORD RD
NAKINA NC
28455-8939
US

IV. Provider business mailing address

409 PORTER AVE
SCOTTDALE PA
15683-1141
US

V. Phone/Fax

Practice location:
  • Phone: 910-642-2410
  • Fax: 910-642-3747
Mailing address:
  • Phone: 724-887-6822
  • Fax: 724-887-9440

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number StateNC

VIII. Authorized Official

Name: MR. JOHN DUNCAN
Title or Position: CHAIRMAN OF THE BOARD
Credential:
Phone: 910-641-1931