Melfa Volunteer Fire and Rescue Company Incorporated

Organization Active NPI Ambulance · Melfa, VA

NPI 1770538779 · NPPES record last updated Nov 11, 2009

Key facts

NPI
1770538779
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
License
352 (VA)
Legal business name
MELFA VOLUNTEER FIRE AND RESCUE COMPANY INCORPORATED
Practice address
28328 Hatton St
Melfa, VA 23410-3707
Phone
(757) 787-0910
NPI assigned
May 24, 2006
Organization subpart
No

Authorized official

Name
David Baines
Title
President
Phone
(757) 787-0910

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20100201000758 VA Part B Supplier - Ambulance Service Supplier 9335282292 Practice locations: Melfa, VA

National Provider Directory

Locations

28328 Hatton St
Melfa, VA 23410
Phone (757) 787-0910

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 352 VA Yes

Addresses

Primary practice location

28328 Hatton St
Melfa, VA 23410-3707

Mailing address

PO Box 100
Melfa, VA 23410-0100

Other identifiers

IdentifierTypeStateIssuer
009013407MedicaidVA
590013495OtherRR CARE
21183OtherOPTIMA
075731OtherBCBS

Other providers in Melfa, VA

All providers in Melfa, VA · Ambulance in Virginia

Sources for this page

Verify at the official NPI Registry.