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NPI Code Detail

MEDICARE: RED SPRINGS RESCUE SQUAD

MEDICARE: RED SPRINGS RESCUE SQUAD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1341600000XAmbulance1193NC
23416L0300XLand Ambulance1193NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164412623
Entity Type Code : Organization
Provider Name (Legal Business Name) : RED SPRINGS RESCUE SQUAD
Provider Business Mailing Address
First Line : 409 PORTER AVE
Second Line :
City : SCOTTDALE
State : PA
Zip : 15683-1141
Country : US
Telephone Number : 724-887-6822
Fax Number : 724-887-9440
Provider Business Practice Location Address
First Line : 209 W 4TH AVE
Second Line :
City : RED SPRINGS
State : NC
Zip : 28377-1509
Country : US
Telephone Number : 910-359-8078
Fax Number :
Authorized Official
Title or Position : SECRETARY/TRESURER
Name : MR. JOSEPH WHITLEY
Credential :
Telephone Number : 910-359-8078
Provider Enumeration Date : 10/26/2005
Last Update Date : 12/06/2022

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Directions to “RED SPRINGS RESCUE SQUAD ” Practice Location

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