Waverly Volunteer Rescue Squad
Organization Active NPI Land Ambulance · Waverly, VA
NPI 1407089592 · NPPES record last updated Aug 24, 2009
Key facts
- NPI
- 1407089592
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- License
- 303 (VA)
- Legal business name
- WAVERLY VOLUNTEER RESCUE SQUAD
- Practice address
- 115 Bank St
Waverly, VA 23890 - Phone
- (804) 834-2835
- NPI assigned
- Aug 24, 2009
- Organization subpart
- No
Authorized official
- Name
- Wamer Lewis Mayes
- Title
- Captian
- Phone
- (804) 691-7903
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Waverly Rescue Squad Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 303 | VA | Yes |
Addresses
Primary practice location
115 Bank St
Waverly, VA 23890
Mailing address
PO Box 583
Waverly, VA 23890-0583
Other providers in Waverly, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.