Organization
DAVIS AMBULANCE ENTERPRISES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE L DAVIS (PRESIDENT)
(434) 223-8807
Entity
Organization
Contact information
Practice address
3987 BACK HAMPDEN SYDNEY RD, FARMVILLE, VA 23901-5531
(434) 223-8807
Mailing address
PO BOX 140, FARMVILLE, VA 23901-0140
(434) 223-8807
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009002201
—
VA
01
—
094258
ANTHEM BLUE CROSS
VA
05
—
4048709 00
—
MD
01
—
47991
OPTIMA FAMILY CARE
VA
Enumeration date
08/08/2006
Last updated
06/29/2009
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