Organization Name: | WAYNESBURG AREA RESCUE SQUAD |
NPI Number: | 1164422978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENVER ROSE (CHIEF) |
Mailing Address: | 16030 Ky Highway 1247 Waynesburg |
State: | KY US |
Postal Code: | 404899704 |
Phone Number: | 6063056339 |
Fax Number: | 6063795497 |
NPI Enumeration Date: | 07/22/2005 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 1351 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |