Central Lifesaving and Rescue Squad

Primary specialty

AmbulanceTaxonomy code 341600000X

License

164 Issued in VA

Legal business name

CENTRAL LIFESAVING AND RESCUE SQUAD

Practice address

5736 Gasburg Road
Gasburg, VA 23857-2385

Phone

(434) 532-6015

Fax

(434) 532-6015

NPI assigned

Jun 7, 2017

Last updated

Jun 7, 2017By 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

Mr. Wade Allen Richardson Jr.

Title

Captain

Phone

(434) 532-6015

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496793600000",
    "number": "1528597200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "GASBURG",
            "state": "VA",
            "postal_code": "238570386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5736 GASBURG ROAD",
            "city": "GASBURG",
            "state": "VA",
            "postal_code": "238572385",
            "telephone_number": "434-532-6015",
            "fax_number": "434-532-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL LIFESAVING AND RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "WADE",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "434-532-6015",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gasburg Express Transportation LLC
• Kimway Transportation Services Inc
• Marie Ella Moody
• Rx4Relief, LLC

• Ambulance in Gasburg, VA
• Providers in Gasburg, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.