Organization
CLINTWOOD VOLUNTEER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD G KENDRICK (CAPTAIN)
(276) 206-6098
Entity
Organization
Contact information
Practice address
184 VOLUNTEER AVE, CLINTWOOD, VA 24228-0484
(276) 926-1604
(270) 744-8642
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1346238797
—
VA
01
—
P00050037
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
08/05/2022
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