Middlesex County Volunteer Squad Inc
Organization Active NPI Land Ambulance · Deltaville, VA
NPI 1922403617 · NPPES record last updated Jan 30, 2026
Key facts
- NPI
- 1922403617
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- MIDDLESEX COUNTY VOLUNTEER SQUAD INC
- Practice address
- 17684 General Puller Highway
Deltaville, VA 23043-0098 - Phone
- (804) 776-6875
- Fax
- (804) 776-0745
- NPI assigned
- Oct 24, 2014
- Organization subpart
- No
Authorized official
- Name
- Leslie S Krom
- Title
- Treasurer
- Phone
- (804) 815-6917
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150408001461 | VA | Part B Supplier - Ambulance Service Supplier | 2264750033 | Practice locations: Hartfield, VA; Deltaville, VA; Urbanna, VA |
National Provider Directory
Locations
10946 General Puller Hwy
Hartfield, VA 23071
Phone (804) 776-0305
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
17684 General Puller Highway
Deltaville, VA 23043-0098
Mailing address
PO Box 98
Deltaville, VA 23043-0098
Phone (804) 505-0602
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922403617 | Medicaid | VA |
Other names
- Middlesex County Rescue Squad Inc
Other providers in Deltaville, VA
- Brittany Nicole Erwin
- Martha Edwards Hart
- Tammy Oliver Johnson
- Alison L Johnston
- Charles Benley Lennon
- Karen A. Ransone
- Sterling Neblett Ransone Jr.
- Ginger Pettengill Richardson
- Riverside Physician Services Inc
- Carla Rae Rothmann
All providers in Deltaville, VA · Land Ambulance in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2026. 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.