| Organization Name: | ROANE COUNTY EMERGENCY SQUAD, INC. |
| NPI Number: | 1093860256 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIM FOUTY (DIRECTOR OF OPERATIONS) |
| Mailing Address: | 200 East Main Street Spencer |
| State: | WV US |
| Postal Code: | 25276 |
| Phone Number: | 3042531059 |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 09/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | NO NUMBER |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |