Blue Ridge Medical Transport Inc

Organization Active NPI Ambulance · Jefferson, NC

NPI 1194795013 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1194795013
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
License
1398 (NC)
Legal business name
BLUE RIDGE MEDICAL TRANSPORT INC
Practice address
223 Morphew Lane
Jefferson, NC 28640-0672
Phone
(336) 246-2768
Fax
(336) 246-9803
NPI assigned
Jan 24, 2006
Organization subpart
No

Authorized official

Name
Debbie E Poe
Title
Secretary Treasurer
Phone
(336) 246-2768

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1398 NC Yes

Addresses

Primary practice location

223 Morphew Lane
Jefferson, NC 28640-0672

Mailing address

PO Box 672
Jefferson, NC 28640-0672
Phone (336) 246-2768

Other identifiers

IdentifierTypeStateIssuer
495744OtherUMW
3406723MedicaidNC
0724WOtherBCBS

Other providers in Jefferson, NC

All providers in Jefferson, NC · Ambulance in North Carolina

Sources for this page

Verify at the official NPI Registry.