Beacon of Life Ambulance Service
Organization Active NPI Land Ambulance · St. Paul, VA
NPI 1497839716 · NPPES record last updated Jul 23, 2012
Key facts
- NPI
- 1497839716
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- BEACON OF LIFE AMBULANCE SERVICE
- Practice address
- 16559 Riverside Dr
St. Paul, VA 24283 - Phone
- (276) 237-7167
- Fax
- (276) 236-4725
- NPI assigned
- Oct 24, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Ouida Ann Jordan
- Title
- Ceo
- Phone
- (276) 237-1767
National Provider Directory
Locations
109 S Main St
Galax, VA 24333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
16559 Riverside Dr
St. Paul, VA 24283
Mailing address
109 S. Main St
Galax, VA 24333
Phone (276) 237-7167
Other providers in St. Paul, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2012. 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.