Organization
AMELIA AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD RUSSELL ALLEY JR. (OPERATIONS MANGER)
(804) 561-7182
Entity
Organization
Contact information
Practice address
16601 EGGLESTETTON RD, AMELIA COURT HOUSE, VA 23002-4902
(804) 561-7182
(804) 561-1658
Mailing address
16601 EGGLESTETTON RD, AMELIA COURT HOUSE, VA 23002-4902
(804) 561-7182
(804) 561-1658
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
862
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179722
ANTHEM BC/BS
VA
05
—
90-1133-1
—
VA
Enumeration date
08/17/2006
Last updated
08/22/2020
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