Organization Name: | BLUEFIELD VIRGINIA RESCUE SQUAD, INC. |
NPI Number: | 1013028158 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TOMMY CARROLL (ADMINISTRATOR CAPTAIN) |
Mailing Address: | 217 Virginia Ave Bluefield |
State: | VA US |
Postal Code: | 246051919 |
Phone Number: | 2763263763 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | NO NUMBER ON LICENSE |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |