Organization Active NPI

Glade Spring Volunteer Life Saving Crew

  • Ambulance
  • Glade Spring, VA
National Provider Identifier
1720129554
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
286 Issued in VA
Legal business name
GLADE SPRING VOLUNTEER LIFE SAVING CREW
Practice address
412 E Glade St
Glade Spring, VA 24340-0059
Phone
(276) 429-5522
Fax
(276) 429-5070
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ruth Thompson Stanley
Title
Ar
Phone
(276) 429-2584

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 286 VA Primary

Addresses

Primary practice location

412 E Glade St
Glade Spring, VA 24340-0059

Mailing address

PO Box 59
Glade Spring, VA 24340-0059
Phone (276) 429-5522

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720129554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 59",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243400059",
            "telephone_number": "276-429-5522",
            "fax_number": "276-429-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E GLADE ST",
            "city": "GLADE SPRING",
            "state": "VA",
            "postal_code": "243400059",
            "telephone_number": "276-429-5522",
            "fax_number": "276-429-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLADE SPRING VOLUNTEER LIFE SAVING CREW",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "THOMPSON",
        "authorized_official_title_or_position": "AR",
        "authorized_official_telephone_number": "276-429-2584"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glade Spring, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.