Organization
KENBRIDGE EMERGENCY SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE EDMONDS STOKES (SECRETARY)
(434) 676-4848
Entity
Organization
Contact information
Practice address
915 EAST 5TH AVE, KENBRIDGE, VA 23944
(434) 676-4848
(434) 676-4848
Mailing address
PO BOX 328, KENBRIDGE, VA 23944
(434) 676-4848
(434) 676-4824
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
176
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010201250
—
VA
01
—
94451
OPTIMA
VA
01
—
P00224440
RR CARE
VA
Enumeration date
05/11/2006
Last updated
01/05/2016
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