Independence Volunteer Rescue Squad Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

198 Issued in VA

Legal business name

INDEPENDENCE VOLUNTEER RESCUE SQUAD INC.

Practice address

182 West Main Street
Independence, VA 24348-4365

Phone

(276) 773-3343

Fax

(276) 773-3035

NPI assigned

Jul 2, 2007

Last updated

Jun 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melaine O Boyer

Title

Captain

Phone

(276) 768-8558

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623801600000",
    "number": "1497952535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-8413",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 WEST MAIN STREET",
            "city": "INDEPENDENCE",
            "state": "VA",
            "postal_code": "243484365",
            "telephone_number": "276-773-3343",
            "fax_number": "276-773-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENCE VOLUNTEER RESCUE SQUAD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A",
        "authorized_official_last_name": "BOYER",
        "authorized_official_first_name": "MELAINE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "276-768-8558"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497952535",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine M Hanks, P. T.
• Emily Hash
• Katlyn R Hash, LPC
• Independence Family Care Center, PC
• Independence Family Care Center, PC
• Franklin Isom, PT
• Tammy Joyce, LPTA
• K -VA -T Food Stores Inc (Food City Pharmacy #866)
• Christie H King
• John Joseph Kovacich, M.D.

• Land Ambulance in Independence, VA
• Providers in Independence, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.