Organization
INDEPENDENCE VOLUNTEER RESCUE SQUAD INC.
Active
Organization
INDEPENDENCE VOLUNTEER RESCUE SQUAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELAINE O BOYER (CAPTAIN)
(276) 768-8558
Entity
Organization
Contact information
Practice address
182 WEST MAIN STREET, INDEPENDENCE, VA 24348-4365
(276) 773-3343
(276) 773-3035
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-8413
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
198
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497952535
—
VA
Enumeration date
07/02/2007
Last updated
06/16/2021
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