SANDY RIDGE VOLUNTEER RESCUE SQUAD; NPI #1023276854

Contact Information

SANDY RIDGE VOLUNTEER RESCUE SQUAD

109 CARICO RIDGE
COEBURN, VA 24230

Phone: 877-731-5464
Fax: 800-234-1627
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for SANDY RIDGE VOLUNTEER RESCUE SQUAD

NPI Number 1023276854

LBN Legal business name SANDY RIDGE VOLUNTEER RESCUE SQUAD

Authorized official MATTHEW SLEMP - (CAPTAIN)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/29/2008

Last updated 06/20/2008 - About 18 years ago

Identifiers

License #

EMS330

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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