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NPI Code Detail

MEDICARE: STAUNTON AUGUSTA COUNTY FIRST AID AND RESCUE SQUAD INC

MEDICARE: STAUNTON AUGUSTA COUNTY FIRST AID AND RESCUE SQUAD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance00423VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2155432OTHERVAANTHEM PROVIDER NUMBER
3248927OTHERVASOUTHERN HEALTH PROVIDER

General Provider Information

NPI Number : 1265430698
Entity Type Code : Organization
Provider Name (Legal Business Name) : STAUNTON AUGUSTA COUNTY FIRST AID AND RESCUE SQUAD INC
Provider Business Mailing Address
First Line : PO BOX 2828
Second Line :
City : STAUNTON
State : VA
Zip : 24402-2828
Country : US
Telephone Number : 540-213-0528
Fax Number : 540-213-0531
Provider Business Practice Location Address
First Line : 1601 N COALTER ST
Second Line :
City : STAUNTON
State : VA
Zip : 24401-2552
Country : US
Telephone Number : 540-213-0528
Fax Number : 540-213-0531
Authorized Official
Title or Position : DIRECTOR
Name : MRS. RACHEL A RAMSBOTTOM
Credential :
Telephone Number : 540-213-0528
Provider Enumeration Date : 07/11/2005
Last Update Date : 03/10/2016

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