LAKE WACCAMAW FIRE & RESCUE SQUAD (NPI# 1073890489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073890489 |
Entity Type | Organization |
Organization Name | LAKE WACCAMAW FIRE & RESCUE SQUAD |
Practice Address |
203 Flemington Dr. Lake Waccamaw NC 28450-0000 |
Mailing Address |
Po Box 145 Lake Waccamaw NC 28450-0145 |
Practice Telephone | 9106464441 |
Mailing Telephone | 9106464441 |
Enumeration Date | 2011-11-14 |
Last Update Date | 2013-03-19 |
Authorized Official Name | MR. EDDY MORGAN (FIRE CHIEF) |
Authorized Official Telephone | 9106464441 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
1483 | NC | Transportation Services |
Street Address |
203 FLEMINGTON DR. |
City | LAKE WACCAMAW |
State | NC |
Zip Code | 28450-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013218312 | Egb Enterjprises | Pharmacy | 108 E Hwy 7476, Lake Waccamaw, NC 28450 | 2010-11-03 |
1609996446 | Etcare Home Quality Management, Inc | Assisted Living Facility | 206 Wannish Ave, Lake Waccamaw, NC 28450 | 2007-03-29 |
1366593170 | Eugene Glenn Brown Jr. | Pharmacist | 108 E. Highway 74-76, Lake Waccamaw, NC 28450 | 2007-01-16 |
1669555603 | Egb Enterprises Inc | Durable Medical Equipment & Medical Supplies | 108 Old E Hwy 74/76, Lake Waccamaw, NC 28450-0148 | 2006-10-23 |
1720085293 | Premier Living and Rehab Center | Skilled Nursing Facility | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2005-06-30 |
1649731407 | Kailynn Harrison | Nurse Practitioner | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2019-03-26 |
1144656414 | Hannah M Fisher | Physical Therapist | 106 Cameron St, Lake Waccamaw, NC 28450-1900 | 2013-09-18 |
1477795821 | Lake Waccamaw Primary Care, Pllc | Family Medicine | 107 Church St, Lake Waccamaw, NC 28450-1908 | 2009-04-01 |
1992019335 | Haven Ministries, Inc. | Psychiatry & Neurology | 107 Church St, Lake Waccamaw, NC 28450-1909 | 2010-07-27 |
1528371614 | Haven Ministires, Inc. | Psychiatry & Neurology | 107 Church St, Lake Waccamaw, NC 28450-1909 | 2010-07-19 |
Find all providers in zip 28450 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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Find all providers with the same taxonomy |
City | LAKE WACCAMAW |
Zip Code | 28450 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.