Provider Demographics
NPI:1336178094
Name:VILLAGE OF BALD HEAD ISLAND
Entity Type:Organization
Organization Name:VILLAGE OF BALD HEAD ISLAND
Other - Org Name:BALD HEAD ISLAND VOLUNTEER RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JEROME
Authorized Official - Middle Name:C
Authorized Official - Last Name:MUNNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-457-4310
Mailing Address - Street 1:PO BOX 3009
Mailing Address - Street 2:
Mailing Address - City:BALD HEAD ISLAND
Mailing Address - State:NC
Mailing Address - Zip Code:28461-7000
Mailing Address - Country:US
Mailing Address - Phone:910-457-4310
Mailing Address - Fax:910-457-4960
Practice Address - Street 1:251 EDWARD TEACH EXT
Practice Address - Street 2:
Practice Address - City:BALD HEAD ISLAND
Practice Address - State:NC
Practice Address - Zip Code:28461
Practice Address - Country:US
Practice Address - Phone:910-457-4310
Practice Address - Fax:910-457-4960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-02
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport