# CHASE CITY RESCUE SQUAD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912957929
- **Authorized official:** MR. CURTIS DODD JONES EMTI (PRESIDENT)
- **Authorized official phone:** (434) 372-2144

## Contact information

- **Practice address:** 335 MECKLENBURG DRIVE, CHASE CITY, VA 23924
- **Practice address phone:** (434) 372-2144
- **Practice address fax:** (434) 372-0626
- **Mailing address:** PO BOX 81, CHASE CITY, VA 23924
- **Mailing address phone:** (434) 372-2144
- **Mailing address fax:** (434) 372-0626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 146L00000X | Paramedic | 167 | VA | — |
| 146M00000X | Intermediate Emergency Medical Technician | 167 | VA | — |
| 146N00000X | Basic Emergency Medical Technician | 167 | VA | Yes |

## Other

- **Enumeration date:** 05/11/2006
- **Last updated:** 10/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 010007372 | — | VA |
| 01 | — | 465594 | ANTHEM | VA |
| 01 | — | 70772 | OPTIMA | VA |
| 01 | — | P00021753 | RR MEDICARE | VA |