Organization
HOPEWELL EMERGENCY CREW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY A WILLIAMS (TREASURER)
(804) 458-3866
Entity
Organization
Contact information
Practice address
102 S 10TH AVE, HOPEWELL, VA 23860-3839
(804) 458-3866
(804) 541-3561
Mailing address
PO BOX 659, HOPEWELL, VA 23860-0659
(804) 458-3866
(804) 458-3866
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080056400
DEPT OF LABOR AND EMPLOYMENT
VA
01
—
100565
BC/BS OF VIRGINIA
VA
05
—
1235170523
—
VA
01
—
72505
OPTIMA HEALTH
VA
01
—
80056400
FEDERAL BLACK LUNG PROGRAM
VA
Enumeration date
06/09/2006
Last updated
11/19/2012
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