Organization
MECKLENBURG COUNTY LIFE SAVING & RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEBORAH OSBORN (SUPERVISOR)
(434) 374-2466
Entity
Organization
Contact information
Practice address
25 BURLINGTON DR, CLARKSVILLE, VA 23927-3235
(434) 374-2466
(434) 374-3332
Mailing address
PO BOX 1539, CLARKSVILLE, VA 23927-1539
(434) 374-2466
(434) 374-3332
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
168
VA
3416L0300X
Land Ambulance
Primary
168
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010190398
—
VA
Enumeration date
11/22/2005
Last updated
02/09/2016
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