| Organization Name: | POWHATAN VOLUNTEER RESCUE SQUAD, INC. |
| NPI Number: | 1801156807 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNNE BARTON BEACH (TREASURER) |
| Mailing Address: | 3920 Marion Harland Lane Powhatan |
| State: | VA US |
| Postal Code: | 231397053 |
| Phone Number: | 8045982911 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2012 |
| NPI Last Update Date: | 05/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 00190 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |