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Contact Information

SOUTHSIDE VIRGINIA EMERGENCY CREW,INC.
425 GRAHAM RD
PETERSBURG, VA23805-1450
 Phone: 804-861-2739
 Fax: 804-861-4184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulance

341600000X 59 Ambulance Service Provider
Indicates primary specialty

NPI Profile & details for SOUTHSIDE VIRGINIA EMERGENCY CREW,INC.

NPI Number 1528163052
LBN Legal business name SOUTHSIDE VIRGINIA EMERGENCY CREW,INC.
Authorized official EDWARD BISH - (DIRECTOR OF OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2006
Last updated 02/20/2012 - About 14 years ago
Identifiers
VA License # 00298
VA Medicaid 009011056
Other 100625 ANTHEM
Other 61593 SENTARA HEALTH
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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