Williamsburg Volunteer Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

WILLIAMSBURG VOLUNTEER RESCUE SQUAD

Practice address

Sinking Creek Church Rd
Williamsburg, WV 24991

Phone

(304) 645-1879

NPI assigned

Jul 22, 2005

Organization subpart

No

Name

Lola Mullins

Title

Chief

Phone

(304) 645-1879

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982604716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "836 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011407",
            "telephone_number": "800-676-4785",
            "fax_number": "304-522-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SINKING CREEK CHURCH RD",
            "city": "WILLIAMSBURG",
            "state": "WV",
            "postal_code": "24991",
            "telephone_number": "304-645-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSBURG VOLUNTEER RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLINS",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "304-645-1879"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0144914000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Daily
• Debra Elizabeth Johnson
• Sarah McFerrin
• Northern Greenbrier Health Clinic, Inc
• Timothy Dean Stafford
• John Glen Wood

• All providers in Williamsburg, WV
• Land Ambulance in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.