Organization
GUARDIAN AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY AARON GRIFFITH (ADMINSTRATOR)
(276) 228-9337
Entity
Organization
Contact information
Practice address
700 W SPILLER ST, WYTHEVILLE, VA 24382-1856
(276) 228-9337
(276) 228-6879
Mailing address
700 W SPILLER ST, WYTHEVILLE, VA 24382-1856
(276) 228-9337
(276) 228-6879
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
645
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9017054
—
VA
Enumeration date
09/06/2005
Last updated
10/23/2007
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