Provider Demographics
NPI:1093897340
Name:WARREN COUNTY RESCUE
Entity Type:Organization
Organization Name:WARREN COUNTY RESCUE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-977-1335
Mailing Address - Street 1:123 S GRACE ST
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-5602
Mailing Address - Country:US
Mailing Address - Phone:252-977-1335
Mailing Address - Fax:252-977-7099
Practice Address - Street 1:123 S GRACE ST
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27803
Practice Address - Country:US
Practice Address - Phone:252-977-1335
Practice Address - Fax:252-977-7099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0720-LOtherBLUE CROSS BLUE SHIELD
NC3406697Medicaid
NC3406697Medicaid