Organization Name: | GASTON VOLUNTEER RESCUE SQUAD INC |
NPI Number: | 1023299633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CARLA HUTCHERSON (COMMANDER) |
Mailing Address: | 224 Craig Street Gaston |
State: | NC US |
Postal Code: | 278320699 |
Phone Number: | 2525352173 |
Fax Number: | 2525354226 |
NPI Enumeration Date: | 11/26/2007 |
NPI Last Update Date: | 05/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |