Provider Demographics
NPI:1093961419
Name:STECOAH TOWNSHIP RESCUE SQUAD AND FIRE DEPARTMENT INC
Entity Type:Organization
Organization Name:STECOAH TOWNSHIP RESCUE SQUAD AND FIRE DEPARTMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:CODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-479-2240
Mailing Address - Street 1:30 LOYD & LYDIA DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROBBINSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28711-8884
Mailing Address - Country:US
Mailing Address - Phone:828-479-2240
Mailing Address - Fax:
Practice Address - Street 1:30 LOYD & LYDIA DRIVE
Practice Address - Street 2:
Practice Address - City:ROBBINSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28711-8884
Practice Address - Country:US
Practice Address - Phone:828-479-2240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-18
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC073EWOtherBC/BS NORTTH CAROLINA
NC3406997Medicaid
NC2783141Medicare PIN