Organization
ALTAVISTA LIFE SAVING AND FIRST AID CREW, INCORPORATED
Active
Other names
Altavista EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON A BRADNER (PRESIDENT)
(434) 369-4716
Entity
Organization
Contact information
Practice address
1510 MAIN ST, ALTAVISTA, VA 24517
(434) 369-4716
(434) 369-4306
Mailing address
PO BOX 1, 1510 MAIN STREET, ALTAVISTA, VA 24517
(434) 369-4716
(434) 369-4306
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
126
VA
Other
Enumeration date
05/20/2006
Last updated
04/14/2008
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