Organization Active NPI

Craig County Rescue Squad EMS- Inc

  • Land Ambulance
  • New Castle, VA
National Provider Identifier
1356512206
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
368 Issued in VA
Legal business name
CRAIG COUNTY RESCUE SQUAD EMS- INC
Practice address
258 Paint Bank Road
New Castle, VA 24127
Phone
(540) 864-5115
NPI assigned
Mar 19, 2008
Last updated
Jan 25, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Robert Wrzosek
Title
Chief
Phone
(540) 864-5115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 368 VA Primary

Addresses

Primary practice location

258 Paint Bank Road
New Castle, VA 24127

Mailing address

836 4TH Ave
Huntington, WV 25701-1407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080710000431 VA Part B Supplier - Ambulance Service Supplier 3476625203 Practice locations: New Castle, VA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1356512206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 PAINT BANK ROAD",
            "city": "NEW CASTLE",
            "state": "VA",
            "postal_code": "24127",
            "telephone_number": "540-864-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG COUNTY RESCUE SQUAD EMS- INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "WRZOSEK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "540-864-5115"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.