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Organization

RIDGEWAY DISTRICT RESCUE SQUAD INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRAVIS L PRUITT (CAPTAIN)
(276) 226-0409
Entity
Organization

Contact information

Practice address
108 MAGNOLIA STREET, RIDGEWAY, VA 24148-0611
(276) 956-5889
(276) 292-2910
Mailing address
PO BOX 611, RIDGEWAY, VA 24148-0611
(276) 956-5889
(276) 292-2910

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
331
VA
341600000X
Ambulance
Primary
VA

Other

Enumeration date
07/18/2007
Last updated
10/08/2016
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