Organization
RICHMOND AMBULANCE AUTHORITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD HENRY DECKER III (CEO)
(804) 254-1150
Entity
Organization
Contact information
Practice address
2400 HERMITAGE RD, RICHMOND, VA 23220-1310
(804) 254-1150
(804) 254-1149
Mailing address
2400 HERMITAGE RD, RICHMOND, VA 23220-1310
(804) 254-1150
(804) 254-1149
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
579
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009000259
—
VA
01
—
067583
ANTHEM BLUE CROSS BLUE SH
VA
01
—
590005592
RAILROAD MEDICARE
VA
Enumeration date
06/15/2005
Last updated
03/27/2013
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