Organization Name: | WISE RESCUE SQUAD INC |
NPI Number: | 1891013520 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TIM V DOTSON (ADMINISTRATOR) |
Mailing Address: | 302 Railroad Ave Wise |
State: | VA US |
Postal Code: | 24293 |
Phone Number: | 2763283063 |
Fax Number: | |
NPI Enumeration Date: | 05/05/2010 |
NPI Last Update Date: | 05/05/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 0004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |