Powhatan Volunteer Rescue Squad, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

00190 Issued in VA

Legal business name

POWHATAN VOLUNTEER RESCUE SQUAD, INC.

Practice address

3920 Marion Harland Lane
Powhatan, VA 23139-7053

Phone

(804) 598-2911

NPI assigned

May 23, 2012

Last updated

May 23, 2012By 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

Mrs. Lynne Barton Beach

Title

Treasurer

Phone

(804) 598-2911

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1801156807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 247",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231390247",
            "telephone_number": "804-598-2911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 MARION HARLAND LANE",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231397053",
            "telephone_number": "804-598-2911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POWHATAN VOLUNTEER RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "LYNNE",
        "authorized_official_middle_name": "BARTON",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "804-598-2911",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "00190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amanda Nichole Presson O'Quinn, COTA/L
• Abbie Preston
• Lindsey M Price, LCSW

• Land Ambulance in Powhatan, VA
• Providers in Powhatan, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.