| Organization Name: | FAIR BLUFF FIRE DEPARTMENT AND RESCUE SQUAD, INC |
| NPI Number: | 1942280599 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JEREMY MEARES (PRESIDENT) |
| Mailing Address: | 653 Railroad St Fair Bluff |
| State: | NC US |
| Postal Code: | 284399651 |
| Phone Number: | 9106497099 |
| Fax Number: | 9106496888 |
| NPI Enumeration Date: | 01/19/2006 |
| NPI Last Update Date: | 09/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1482 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |