Organization
CITY OF ROANOKE EMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT D STOVER (SUPPORT ADMINISTRATOR)
(540) 853-2216
Entity
Organization
Contact information
Practice address
541 LUCK AVE SW, STE 120, ROANOKE, VA 24016-5055
(540) 853-2216
(540) 853-1172
Mailing address
PO BOX 20582, ROANOKE, VA 24018-0059
(540) 767-2700
(540) 767-2708
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
06/01/2005
Last updated
08/22/2020
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