Organization
WASHINGTON COUNTY FIRE RESCUE 1 INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES HAROSKY (DIRECTOR)
(276) 669-1411
Entity
Organization
Contact information
Practice address
15222 LEE HIGHWAY, BRISTOL, VA 24202-4010
(276) 669-1411
(276) 642-0200
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
00699
VA
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1505364
—
TN
05
—
1629033667
—
VA
01
—
710566600
DOL - FECA/ BL/ ENERGY
VA
01
—
P00016071
RAILROAD MEDICARE
VA
Enumeration date
04/20/2006
Last updated
06/16/2021
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