Organization
BOYDTON LIFE STATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EMIT TOONE (CAPTAIN)
(434) 738-6896
Entity
Organization
Contact information
Practice address
349 MADISON ST, BOYDTON, VA 23917-3102
(434) 738-6896
(434) 738-6896
Mailing address
PO BOX 182, BOYDTON, VA 23917
(434) 738-6896
(434) 738-0577
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
553
VA
3416L0300X
Land Ambulance
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007372434
AETNA
KY
01
—
465597
ANTHEM BCBS
VA
01
—
P00029115
PALMETTO GBA RR MEDICARE
GA
Enumeration date
05/08/2006
Last updated
04/20/2008
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