| Organization Name: | THE ROANOKE VALLEY RESCUE SQUAD, INC |
| NPI Number: | 1104814508 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARK COLLIER (EMS DIRECTOR) |
| Mailing Address: | 201 Washington St Roanoke Rapids |
| State: | NC US |
| Postal Code: | 278702026 |
| Phone Number: | 2525377181 |
| Fax Number: | 2525376445 |
| NPI Enumeration Date: | 10/10/2005 |
| NPI Last Update Date: | 02/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1380 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |