MATTAPONI VOLUNTEER RESCUE SQUAD INC; NPI #1922386846

Contact Information

MATTAPONI VOLUNTEER RESCUE SQUAD INC

6089 CATEBURY ROAD
WALKERTON, VA 23177

Phone: 804-769-3487
Fax:
Website:

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

Indicates primary specialty

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NPI Profile & details for MATTAPONI VOLUNTEER RESCUE SQUAD INC

NPI # 1922386846

LBN Legal business name MATTAPONI VOLUNTEER RESCUE SQUAD INC

Authorized official TAMMY MASON - (CHIEF OF OPERATIONS)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/26/2011

Last updated 03/17/2021 - About 5 years ago

Identifiers

VA	License #	799
KY	Medicaid	1922386846

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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