Organization Name: | DICKENSON COUNTY AMBULANCE SERVICE INC |
NPI Number: | 1053380212 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICK A MULLINS (CEO PRESIDENT) |
Mailing Address: | 142 Main St Clintwood |
State: | VA US |
Postal Code: | 24228 |
Phone Number: | 2769268896 |
Fax Number: | 2769266915 |
NPI Enumeration Date: | 03/17/2006 |
NPI Last Update Date: | 10/09/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 18 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |