Organization
STONY CREEK RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN WHITE (TREASURER)
(804) 712-9057
Entity
Organization
Contact information
Practice address
13328 BLUESTAR HWY, STONY CREEK, VA 23882-3045
(434) 246-9300
(434) 246-9600
Mailing address
409 PORTER AVE, SCOTTDALE, PA 15683-1141
(724) 887-6822
(724) 887-9440
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
304
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3001497562
—
VA
Enumeration date
12/23/2011
Last updated
12/09/2022
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