Organization
WILLIAMSBURG VOLUNTEER RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOLA MULLINS (CHIEF)
(304) 645-1879
Entity
Organization
Contact information
Practice address
SINKING CREEK CHURCH RD, WILLIAMSBURG, WV 24991
(304) 645-1879
Mailing address
836 4TH AVE, HUNTINGTON, WV 25701-1407
(800) 676-4785
(304) 522-4222
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0144914000
—
WV
Enumeration date
07/22/2005
Last updated
08/22/2020
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