Organization
VIRGINIA LIFELINE AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE HAMPTON (PRESIDENT)
(757) 336-5402
Entity
Organization
Contact information
Practice address
4396 LOGAN LN, CHINCOTEAGUE, VA 23336-2632
(757) 336-5402
(757) 336-5711
Mailing address
4396 LOGAN LN, P.O BOX 317, CHINCOTEAGUE, VA 23336-2632
(757) 336-5402
(757) 336-5711
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
762
VA
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/10/2006
Last updated
02/26/2019
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