Organization
NOTTOWAY CO EMERGENCY SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD J BLASS (OFFICE MANAGER)
(434) 645-7549
Entity
Organization
Contact information
Practice address
501 E VIRGINIA AVE, CREWE, VA 23930
(434) 645-7549
Mailing address
PO BOX 453, CREWE, VA 23930
(434) 645-7549
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
180
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
033330
ANTHEM
VA
01
—
59399
OPTIMA
VA
Enumeration date
05/15/2006
Last updated
08/22/2020
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