Organization
ABBS VALLEY-BOISSEVAIN POCAHONTAS RESCUE SQUAD INC
Active
Other names
Rescue 945
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
1289 BOISSEVAIN RD, BOISSEVAIN, VA 24606-0217
(276) 945-2554
(276) 945-2554
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
27
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144670000
—
WV
05
—
1205824307
—
VA
Enumeration date
10/12/2005
Last updated
08/07/2008
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