Organization
COLONIAL BEACH RESCUE SQUAD INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD RIDGELY (RESCUE CHIEF)
(804) 224-7750
Entity
Organization
Contact information
Practice address
225 DENNISON ST, COLONIAL BEACH, VA 22443-2311
(804) 224-7750
Mailing address
225 DENNISON ST, COLONIAL BEACH, VA 22443-2311
(804) 224-7750
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
00280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9010181
—
VA
Enumeration date
07/22/2006
Last updated
04/07/2008
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