Organization
VALLEY RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN L O'QUINN (CAPTAIN)
(276) 698-6242
Entity
Organization
Contact information
Practice address
7720 HAYTERS GAP RD, SALTVILLE, VA 24370-4014
(276) 944-5875
(276) 944-5875
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
285
VA
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114110715
—
VA
01
—
710466800
DOL
VA
01
—
P00475703
RAILROAD MEDICARE
VA
Enumeration date
08/27/2007
Last updated
04/01/2021
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