Organization
CITY OF MARTINSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RODNEY DAN HOWELL (CHIEF)
(276) 403-5201
Entity
Organization
Contact information
Practice address
65 WEST CHURCH ST, MARTINSVILLE, VA 24112
(276) 403-5325
(276) 403-5305
Mailing address
65 W CHURCH ST, MARTINSVILLE, VA 24112-6209
(276) 403-5325
(276) 403-5360
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010124476
—
VA
01
—
175963
BCBS
VA
01
—
608147600
BLACK LUNG
VA
01
—
95864
OPTIMA
VA
01
—
P00184617
RAILROAD MEDICARE
VA
Enumeration date
05/11/2006
Last updated
12/03/2024
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