Provider Demographics
NPI:1053358994
Name:CLAYTON RESCUE SQUAD INC
Entity type:Organization
Organization Name:CLAYTON RESCUE SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:C
Authorized Official - Last Name:MERCER
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:919-553-5493
Mailing Address - Street 1:PO BOX 45
Mailing Address - Street 2:
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-0045
Mailing Address - Country:US
Mailing Address - Phone:919-553-5493
Mailing Address - Fax:919-553-3806
Practice Address - Street 1:219 BARBOUR ST
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-2403
Practice Address - Country:US
Practice Address - Phone:919-553-5493
Practice Address - Fax:919-553-3806
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport