Organization
CRAIG COUNTY RESCUE SQUAD EMS- INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WRZOSEK (CHIEF)
(540) 864-5115
Entity
Organization
Contact information
Practice address
258 PAINT BANK ROAD, NEW CASTLE, VA 24127
(540) 864-5115
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
368
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356512206
—
VA
Enumeration date
03/19/2008
Last updated
01/25/2017
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