National Provider Identifier Database

JEB STUART RESCUE SQUAD INCORPORATED
Ambulance

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).


Contact Information

JEB STUART RESCUE SQUAD INCORPORATED
1258 AMERICAN LEGION RD
STUART, VA24171
Phone: 276-694-6171
Fax: 276-694-5366
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for JEB STUART RESCUE SQUAD INCORPORATED

NPI Number 1306889431
Legal business name
LBN
JEB STUART RESCUE SQUAD INCORPORATED
Authorized official JIMMY WILLARD - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/14/2006
Last updated 09/13/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 158
  • VA Medicaid: 010209196

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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