Organization
MARION LIFE SAVING CREW
Active
Organization
MARION LIFE SAVING CREW
Active
Other names
NONE
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CLARENCE SHUPE JR. PARAMEDIC (BILLING OFFICER)
(276) 783-4500
Entity
Organization
Contact information
Practice address
230 S PARK ST, MARION, VA 24354-2929
(276) 783-4500
(276) 783-1442
Mailing address
MARION LIFE SAVING CREW INC., PO BOX 784, MARION, VA 24354-0784
(276) 783-4500
(276) 783-1442
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
205
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000397107
BLUE CROSS BLUE SHIELD
VA
Enumeration date
01/14/2006
Last updated
08/22/2020
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