SCOTT COUNTY LIFE SAVING & FIRST AID CREW INC; NPI #1699763086

Contact Information

SCOTT COUNTY LIFE SAVING & FIRST AID CREW INC

108 PARK ST
GATE CITY, VA 24251

Phone: 276-386-3571
Fax: 276-386-2447
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 SCOTT COUNTY LIFE SAVING & FIRST AID CREW INC

NPI Number 1699763086

LBN Legal business name SCOTT COUNTY LIFE SAVING & FIRST AID CREW INC

Authorized official MARY GENTILE - (AUTHORIZED AGENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/10/2005

Last updated 08/07/2008 - About 18 years ago

Identifiers

VA	License #	361
TN	Medicaid	4582509
VA	Medicaid	1699763086
	Other	P00086134	RAILROAD MEDICARE

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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