Provider Demographics
NPI:1093969198
Name:AURORA RESCUE SQUAD, INC.
Entity Type:Organization
Organization Name:AURORA RESCUE SQUAD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:EMTB
Authorized Official - Phone:252-322-4213
Mailing Address - Street 1:PO BOX 277
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:NC
Mailing Address - Zip Code:27806-0277
Mailing Address - Country:US
Mailing Address - Phone:252-322-4213
Mailing Address - Fax:252-322-2006
Practice Address - Street 1:99 NC HWY. 33 E.
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:NC
Practice Address - Zip Code:27806-0277
Practice Address - Country:US
Practice Address - Phone:252-322-4213
Practice Address - Fax:252-322-2006
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-17
Last Update Date:2011-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1538341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance