Organization
SALTVILLE RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDDIE WAYNE LOUTHIAN SR. (PRESIDENT)
(276) 496-4531
Entity
Organization
Contact information
Practice address
126 BATTLEGROUND AVE, SALTVILLE, VA 24370
(276) 496-4531
(276) 496-5651
Mailing address
126 BATTLEGROUND AVE, DRAWER D, SALTVILLE, VA 24370
(276) 496-4531
(276) 496-5651
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
207
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433764
ANTHEM
VA
Enumeration date
05/11/2006
Last updated
08/22/2020
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