Victoria Fire and Rescue Company, Incorporated
Organization Active NPI Ambulance · Victoria, VA
NPI 1790731263 · NPPES record last updated Feb 25, 2020
Key facts
- NPI
- 1790731263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulance 341600000X
- License
- 402 (VA)
- Legal business name
- VICTORIA FIRE AND RESCUE COMPANY, INCORPORATED
- Practice address
- 1421 Main St
Victoria, VA 23974-9201 - Phone
- (804) 696-2605
- NPI assigned
- May 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Rodney C Newton
- Title
- Chief
- Phone
- (434) 447-9715
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051116000554 | VA | Part B Supplier - Ambulance Service Supplier | 2264451590 | Practice locations: Victoria, VA |
National Provider Directory
Locations
1421 Main St
Victoria, VA 23974
Phone (434) 696-2605
1421 Main St
Victoria, VA 23974
Phone (434) 696-2605
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 402 | VA | Yes |
Addresses
Primary practice location
1421 Main St
Victoria, VA 23974-9201
Mailing address
PO Box 1419
Victoria, VA 23974-1419
Phone (434) 696-2605
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731263 | Medicaid | VA |
Other providers in Victoria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.