| Organization Name: | PEMBROKE RESCUE SQUAD, INC. |
| NPI Number: | 1104979368 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MATTHEW LOCKLEAR (CHAIRMAN) |
| Mailing Address: | 210 Union Chapel Rd Pembroke |
| State: | NC US |
| Postal Code: | 28372 |
| Phone Number: | 9105212742 |
| Fax Number: | 9105212855 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 12/05/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |