Prince Edward Volunteer Rescue Squad, Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

PRINCE EDWARD VOLUNTEER RESCUE SQUAD, INC

Practice address

500 Doswell St
Farmville, VA 23901

Phone

(434) 392-6973

Fax

(434) 392-7525

NPI assigned

May 11, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Shanequa Scott

Title

Office Admin

Phone

(434) 392-6973

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1093765976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270230863",
            "telephone_number": "434-392-6973",
            "fax_number": "434-392-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DOSWELL ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "23901",
            "telephone_number": "434-392-6973",
            "fax_number": "434-392-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCE EDWARD VOLUNTEER RESCUE SQUAD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SHANEQUA",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "434-392-6973",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "170",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009012061",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR M CARE",
            "identifier": "590014004",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "34725",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "432775",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tyler Postans, PTA
• Marlo Powell
• Elizabeth Anne Power-Defur, PH.D.
• Prince Edward County Department of Social Services
• Prince Edward Pediatrics
• David E Pruitt, MD
• Mary Ann Pruitt, NP
• Girish Purohit, MD
• Alicia S. Quinn-Houston, MA CCC SLP
• Robert Raborn, LPC

• Land Ambulance in Farmville, VA
• Providers in Farmville, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; 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.