Oak Hall Rescue Inc.
Organization Active NPI Land Ambulance · Oak Hall, VA
NPI 1336194604 · NPPES record last updated Mar 1, 2024
Key facts
- NPI
- 1336194604
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- OAK HALL RESCUE INC.
- Practice address
- 30057 Ambulance Rd
Oak Hall, VA 23416 - Phone
- (757) 824-3370
- NPI assigned
- May 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Brian Linton
- Title
- Authorized Official
- Phone
- (443) 365-4973
Corporate family (same tax ID) 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050113001164 | VA | Part B Supplier - Ambulance Service Supplier | 4880643063 | Practice locations: Oak Hall, VA |
National Provider Directory
- Tax ID family
- Eastern Shore Billing Services LLC
Locations
30057 Ambulance Rd
Oak Hall, VA 23416
Phone (434) 616-6920
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 376 | VA | |
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
30057 Ambulance Rd
Oak Hall, VA 23416
Mailing address
PO Box 128
Oak Hall, VA 23416-0128
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38878 | Other | OPTIMA | |
| 019107 | Other | BCBS | |
| 009014322 | Medicaid | VA | |
| 590014538 | Other | RR CARE |
Other names
- Eastern Shore Billing Services LLC
Other providers in Oak Hall, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.