Provider Demographics
NPI:1871850248
Name:EMERGENCY TRAINING SOLUTIONS OF THE CAROLINAS, LLC
Entity Type:Organization
Organization Name:EMERGENCY TRAINING SOLUTIONS OF THE CAROLINAS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DARIN
Authorized Official - Middle Name:T
Authorized Official - Last Name:MCINTOSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-622-2950
Mailing Address - Street 1:15325 E ROCKY RIVER RD
Mailing Address - Street 2:
Mailing Address - City:DAVIDSON
Mailing Address - State:NC
Mailing Address - Zip Code:28036-9749
Mailing Address - Country:US
Mailing Address - Phone:704-622-2950
Mailing Address - Fax:
Practice Address - Street 1:15325 E ROCKY RIVER RD
Practice Address - Street 2:
Practice Address - City:DAVIDSON
Practice Address - State:NC
Practice Address - Zip Code:28036-9749
Practice Address - Country:US
Practice Address - Phone:704-622-2950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EMERGENCY TRAINING SOLUTIONS OF THE CAROLINAS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-04-23
Last Update Date:2012-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332900000XSuppliersNon-Pharmacy Dispensing Site