LEGACY AMBULANCE LLC; NPI #1437449220

Contact Information

LEGACY AMBULANCE LLC

5453 GOVERNOR G C PEERY HWY
RAVEN, VA 24639-9533

Phone: 276-963-5323
Fax: 276-964-2972
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 LEGACY AMBULANCE LLC

NPI Number	`1437449220`
LBN Legal business name	LEGACY AMBULANCE LLC
Authorized official	JERRY DUNFORD - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/13/2011
Last updated	08/24/2011 - About 15 years ago
Identifiers	n/a

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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