Organization
BRUNSWICK VOLUNTEER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES VAUGHAN (PRESIDENT)
(434) 848-3020
Entity
Organization
Contact information
Practice address
1458 LAWRENCEVILLE PLANK RD, LAWRENCEVILLE, VA 23868-3302
(434) 848-3020
(434) 848-4555
Mailing address
PO BOX 441, SOUTH HILL, VA 23970
(434) 447-8580
(434) 447-8538
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02392712
—
NY
01
—
246054
ANTHEM
VA
Enumeration date
10/14/2005
Last updated
10/15/2007
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