Organization
WYTHE COUNTY RESCUE SQUAD INC
Active
Organization
WYTHE COUNTY RESCUE SQUAD INC
Active
Other names
Wythe County Rescue Squad
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN WARF (CAPTAIN)
(276) 233-1762
Entity
Organization
Contact information
Practice address
195 W SPRING STREET, WYTHEVILLE, VA 24382-0389
(276) 228-2671
(276) 228-2671
Mailing address
PO BOX 95, PRINCETON, WV 24740-0095
(866) 631-4452
(937) 291-2971
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
000213
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010241855
—
VA
01
—
195085
BLUECROSS BLUE SHIELD
VA
01
—
P00452288
RAILROAD MEDICARE
VA
Enumeration date
07/18/2006
Last updated
01/24/2017
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