Organization
BLUEFIELD VIRGINIA RESCUE SQUAD, INC.
Active
Other names
Bluefield VA Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMY CARROLL (ADMINISTRATOR CAPTAIN)
(276) 326-3763
Entity
Organization
Contact information
Practice address
217 VIRGINIA AVE, BLUEFIELD, VA 24605-1919
(276) 326-3763
Mailing address
PO BOX 999, OCEANA, WV 24870-0999
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
NO NUMBER ON LICENSE
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000013000
—
WV
Enumeration date
08/31/2006
Last updated
08/22/2020
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