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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 Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for JEB STUART RESCUE SQUAD INCORPORATED

NPI Number 1306889431
LBN Legal business name JEB STUART RESCUE SQUAD INCORPORATED
Authorized official JIMMY WILLARD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2006
Last updated 09/13/2022 - About 4 years ago
Identifiers
VA License # 158
VA Medicaid 010209196
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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