Scott County Life Saving & First Aid Crew Inc

Primary specialty

AmbulanceTaxonomy code 341600000X

License

361 Issued in VA

Legal business name

SCOTT COUNTY LIFE SAVING & FIRST AID CREW INC

Practice address

108 Park St
Gate City, VA 24251

Phone

(276) 386-3571

Fax

(276) 386-2447

NPI assigned

Oct 10, 2005

Last updated

Aug 7, 2008By 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

Ms. Mary Gentile

Title

Authorized Agent

Phone

(800) 452-8191

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1128902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218067200000",
    "number": "1699763086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "800-452-8191",
            "fax_number": "860-563-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 PARK ST",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "24251",
            "telephone_number": "276-386-3571",
            "fax_number": "276-386-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COUNTY LIFE SAVING & FIRST AID CREW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-10",
        "last_updated": "2008-08-07",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "361",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699763086",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4582509",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00086134",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandra Kay Rhoton, BSW
• Brenda Ryan, SPEECH LANGUAGE PATH
• Lisa Y Salyer, NURSE PRACTITIONER
• Judy T Sanders, SLP
• Scott County Dental Clinic
• Scott County Schools
• Karen Short
• Brack Edward Slate, PHARMACIST
• Andrew Christopher Harrison Slemp, LPC
• Katrina Rhenea Smith-Toole, ED.S/ M.ED

• Ambulance in Gate City, VA
• Providers in Gate City, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; 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.