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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