STONY CREEK RESCUE SQUAD INC NPI 1932478773

NPI Information

NPI: 1932478773
Provider Name: STONY CREEK RESCUE SQUAD INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
13328 BLUESTAR HWY
STONY CREEK, VA
ZIP 23882
Phone: (434) 246-9300
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STONY CREEK RESCUE SQUAD INC is a land transport ambulance in Stony Creek, VA. STONY CREEK RESCUE SQUAD INC NPI is 1932478773. The provider is registered as an organization entity type.

The provider's business location address is:

13328 BLUESTAR HWY
STONY CREEK, VA
ZIP 23882-045
Phone: (434) 246-9300
Fax: (434) 246-9600

The provider's authorized official is Carolyn White .
The authorized official title is Treasurer and has the following contact phone number (804) 712-9057.

The enumeration date for this NPI number is 12/23/2011 and was last updated on 12/9/2022.

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
1	3416L0300X	Ambulance	Land Transport	304	VIRGINIA	Yes

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
1	3001497562	MEDICAID	VIRGINIA

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

NPI Synchronization or Removal

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