National Provider Identifier Database

JEFFERSONVILLE VOLUNTEER RESCUE SQUAD INC
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

JEFFERSONVILLE VOLUNTEER RESCUE SQUAD INC
407 STEELES LANE
TAZEWELL, VA24651-9625
Phone: 276-988-9062
Fax: 276-988-9062
Website:
Specialty Taxonomy Code
* Ambulance 341600000X

* Indicates primary specialty

NPI Profile & details for JEFFERSONVILLE VOLUNTEER RESCUE SQUAD INC

NPI Number 1558471664
Legal business name
LBN
JEFFERSONVILLE VOLUNTEER RESCUE SQUAD INC
Authorized official KEITH WAYCASTER - (AUTHORIZED AGENT)
Entity Organization
Organization subpart No
Enumeration date 08/30/2006
Last updated 10/09/2012 - About 14 years ago
Sole proprietor1 Not specified
Identifiers
  • VA License #: 892
  • VA Medicaid: 1558471664
  • WV Medicaid: 3810012977
  • VA Other: P00605846 RAILROAD MEDICARE

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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