Danville Life Saving and First Aid Crew Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

410 Issued in VA

Legal business name

DANVILLE LIFE SAVING AND FIRST AID CREW INC

Practice address

202 Christopher LN
Danville, VA 24541-2661

Phone

(434) 792-2739

Fax

(434) 793-3525

NPI assigned

Aug 25, 2011

Organization subpart

No

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

Authorized official

Name

Robert T Pruett Jr.

Title

Executive Director

Phone

(434) 792-2739

Specialties & licenses 1

Addresses

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": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1851671606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CHRISTOPHER LN",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412661",
            "telephone_number": "434-792-2739",
            "fax_number": "434-793-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 CHRISTOPHER LN",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245412661",
            "telephone_number": "434-792-2739",
            "fax_number": "434-793-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANVILLE LIFE SAVING AND FIRST AID CREW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "PRUETT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "434-792-2739",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.