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JEB STUART RESCUE SQUAD INCORPORATED NPI 1306889431


NPI Information

NPI: 1306889431
Provider Name: JEB STUART RESCUE SQUAD INCORPORATED
Classification: Ambulance - 341600000X
Entity Type: Organization
Address:
1258 AMERICAN LEGION RD
STUART, VA
ZIP 24171
Phone: (276) 694-6171
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JEB STUART RESCUE SQUAD INCORPORATED is an ambulance in Stuart, VA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). JEB STUART RESCUE SQUAD INCORPORATED NPI is 1306889431. The provider is registered as an organization entity type.

The provider's business location address is:

1258 AMERICAN LEGION RD
STUART, VA
ZIP 24171
Phone: (276) 694-6171
Fax: (276) 694-5366

The provider's authorized official is Jimmy Willard .
The authorized official title is President and has the following contact phone number (276) 229-6272.

The enumeration date for this NPI number is 6/14/2006 and was last updated on 9/13/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1341600000XAmbulance158VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010209196MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.