Provider Demographics
NPI:1548221252
Name:BUNCOMBE COUNTY RESCUE SQUAD, INC
Entity Type:Organization
Organization Name:BUNCOMBE COUNTY RESCUE SQUAD, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:BART
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-253-1208
Mailing Address - Street 1:PO BOX 6311
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28816-6311
Mailing Address - Country:US
Mailing Address - Phone:828-253-1208
Mailing Address - Fax:828-254-4938
Practice Address - Street 1:116 HANSEL AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28806-3735
Practice Address - Country:US
Practice Address - Phone:828-253-1208
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-31
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
341600000X
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406737Medicaid
NCP00202926OtherRR MEDICARE
NC0724XOtherBCBSNC
NCP00202926OtherRR MEDICARE