COOL BRANCH VOLUNTEER RESCUE SQUAD INC; NPI #1679430920

Contact Information

COOL BRANCH VOLUNTEER RESCUE SQUAD INC

3060 SMITH MOUNTAIN ROAD
PENHOOK, VA 24137

Phone: 434-927-5050
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Land Transport	3416L0300X	59	Ambulance Service Provider
Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for COOL BRANCH VOLUNTEER RESCUE SQUAD INC

NPI Number	`1679430920`
LBN Legal business name	COOL BRANCH VOLUNTEER RESCUE SQUAD INC
Authorized official	TIFFANI MATHERLY - (CAPTAIN)
Entity	Organization
Organization subpart ¹	No
Enumeration date	01/08/2026
Last updated	01/08/2026 - About 5 months 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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