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Organization

RESCUE 33 AMBULANCE SERVICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RANDY SUBER (OWNER)
(276) 935-4911
Entity
Organization

Contact information

Practice address
RESCUE 33 AMBULANCE, 1058 ALMARINE DRIVE, GRUNDY, VA 24614
(276) 935-4911
Mailing address
PO BOX 911, MABSCOTT, WV 25871-0911
(304) 575-2866

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1142
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
287558
ANTHEM BCBS
VA
05
8040019-000
WV
05
9011919
VA
Enumeration date
03/29/2006
Last updated
03/05/2024
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