Organization
GILES LIFESAVING & RESCUE SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CARTER (CHIEF)
(540) 599-1301
Entity
Organization
Contact information
Practice address
1801 WENONAH AVE, PEARISBURG, VA 24134-2285
(540) 921-4376
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(304) 522-7533
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
218
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1536242
UMWA
VA
01
—
281504
BLUE CROSS
VA
01
—
541852926
TRICARE
VA
01
—
590012653
RAILROAD MEDICARE
VA
05
—
8002038000
—
WV
05
—
9011609
—
VA
Enumeration date
07/21/2005
Last updated
10/17/2012
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