Organization
FOREST AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGINA T. FORREST (PRESIDENT/CEO)
(804) 358-7575
Entity
Organization
Contact information
Practice address
3101 NORTHSIDE AVE, HENRICO, VA 23228-5409
(804) 358-2595
(804) 358-7662
Mailing address
P.O. BOX 28118, HENRICO, VA 23228-9998
(804) 358-2595
(804) 358-7662
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
259
VA
3416L0300X
Land Ambulance
Primary
259
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009002171
—
VA
Enumeration date
11/03/2005
Last updated
07/14/2015
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