Big Stone Gap Rescue Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BIG STONE GAP RESCUE SQUAD, INC.

Practice address

361 Shawnee Avenue
Big Stone Gap, VA 24219-0128

Phone

(276) 523-0251

NPI assigned

Feb 20, 2007

Last updated

Jun 30, 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

Donald C. Sturgill

Title

Captain

Phone

(276) 523-0251

Specialties & licenses 2

Addresses

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": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1598800666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 SHAWNEE AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192815",
            "telephone_number": "276-523-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 SHAWNEE AVENUE",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242190128",
            "telephone_number": "276-523-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG STONE GAP RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "STURGILL",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CAPTAIN",
        "authorized_official_telephone_number": "276-523-0251"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "3",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Beverly, LPN
• Rebecca Bevins, PT, DPT
• Big Stone Economy Drug Inc
• Big Stone Gap Life Care, LLC (Heritage Hall - Big Stone Gap)
• Big Stone Gap Life Care, LLC (Heritage Hall - Big Stone Gap)
• Patty Biles, CRNA
• Christopher Eugene Bishop, DO
• Doris Jean Bishop
• Daphne Dawn Blanton, M.ED
• Mark Lee Blanton

• Land Ambulance in Big Stone Gap, VA
• Providers in Big Stone Gap, 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 30, 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.