Organization
COOL BRANCH VOLUNTEER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANI MATHERLY (CAPTAIN)
(434) 927-5050
Entity
Organization
Contact information
Practice address
3060 SMITH MOUNTAIN ROAD, PENHOOK, VA 24137
(434) 927-5050
Mailing address
PO BOX 54, PENHOOK, VA 24137-0054
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
01/08/2026
Last updated
01/08/2026
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