Organization
UNITED AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA T DURNEY-MCCORMICK (OFFICE MANAGER)
(540) 981-0400
Entity
Organization
Contact information
Practice address
2701 SHENANDOAH AVE NW, ROANOKE, VA 24017-5249
(540) 981-0400
(540) 344-6712
Mailing address
2701 SHENANDOAH AVE NW, ROANOKE, VA 24017-5249
(540) 981-0400
(540) 344-6712
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
508
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
096165
ANTHEM BCBS
VA
01
—
1299888
UMWA
VA
Enumeration date
12/20/2005
Last updated
08/22/2020
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