Ridgeway District Rescue Squad Inc.

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

RIDGEWAY DISTRICT RESCUE SQUAD INC.

Practice address

108 Magnolia Street
Ridgeway, VA 24148-0611

Phone

(276) 956-5889

Fax

(276) 292-2910

NPI assigned

Jul 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Travis L Pruitt

Title

Captain

Phone

(276) 226-0409

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475884800000",
    "number": "1073713137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "RIDGEWAY",
            "state": "VA",
            "postal_code": "241480611",
            "telephone_number": "276-956-5889",
            "fax_number": "276-292-2910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MAGNOLIA STREET",
            "city": "RIDGEWAY",
            "state": "VA",
            "postal_code": "241480611",
            "telephone_number": "276-956-5889",
            "fax_number": "276-292-2910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIDGEWAY DISTRICT RESCUE SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2016-10-08",
        "status": "A",
        "authorized_official_last_name": "PRUITT",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "276-226-0409"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "331",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martinsville Henry County Coalition for Health and Wellness (Ridgeway Family Health)
• Maegan Sutphin Nelson, OTR/L
• Chan M Park, M.D.
• Piedmont Preferred Women's Healthcare Associates Inc.
• Leigh Reynolds, NP
• Ridgeway Family Pharmacy, Inc.
• Jennifer Royster
• Breaudrea Scales
• Fred Allen Smith Jr., DNP, FNP-C
• The Claye Corporation

• Ambulance in Ridgeway, VA
• Providers in Ridgeway, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.