Organization
WISE RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY DOTSON (CAPTAIN)
(276) 328-3037
Entity
Organization
Contact information
Practice address
302 RAILROAD AVE NE, WISE, VA 24293-7802
(276) 328-3063
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-8413
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0004
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1527533
—
TN
Enumeration date
05/05/2010
Last updated
06/18/2021
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