Provider Demographics
NPI:1235317611
Name:ROANOKE AREA MEDICAL TRANSPORT SERVICE
Entity Type:Organization
Organization Name:ROANOKE AREA MEDICAL TRANSPORT SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:FURLOUGH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-809-9792
Mailing Address - Street 1:PO BOX 785
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:NC
Mailing Address - Zip Code:27962-0785
Mailing Address - Country:US
Mailing Address - Phone:252-809-9792
Mailing Address - Fax:
Practice Address - Street 1:HIGHWAY 64 EAST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:NC
Practice Address - Zip Code:27962
Practice Address - Country:US
Practice Address - Phone:252-809-9792
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport