Craig County Rescue Squad EMS- Inc
Organization Active NPI Land Ambulance · New Castle, VA
NPI 1356512206 · NPPES record last updated Jan 25, 2017
Key facts
- NPI
- 1356512206
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 368 (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
- Organization subpart
- No
Authorized official
- Name
- Robert Wrzosek
- Title
- Chief
- Phone
- (540) 864-5115
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080710000431 | VA | Part B Supplier - Ambulance Service Supplier | 3476625203 | Practice locations: New Castle, VA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 368 | VA | Yes |
Addresses
Primary practice location
258 Paint Bank Road
New Castle, VA 24127
Mailing address
836 4TH Ave
Huntington, WV 25701-1407
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356512206 | Medicaid | VA |
Other providers in New Castle, VA
- Craig County Board of Supervisors
- Craig County Center
- Craig County Health Center - Lab
- Craig County Public Schools
- Craig County Public Schools
- Frederick Paul Donikowski
- Ramon Duran Lopez
- Easter Seals Virginia
- Ebrahim H. Baradaran D.M.D. P.C.
- Stacey B. Fisher
All providers in New Castle, VA · Land Ambulance in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2017. 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.