Healthcare Provider Details

I. General information

NPI: 1144323478
Provider Name (Legal Business Name): BLAND COUNTY VOLUNTEER RESCUE SQUAD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2006
Last Update Date: 05/03/2024
Certification Date: 05/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

67 ORCHARD VIEW LANE
BLAND VA
24315-0585
US

IV. Provider business mailing address

PO BOX 585
BLAND VA
24315-0585
US

V. Phone/Fax

Practice location:
  • Phone: 276-688-4708
  • Fax:
Mailing address:
  • Phone: 276-688-4708
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberNO NUMBER ON LICENSE
License Number StateVA

VIII. Authorized Official

Name: JAMES D ATWELL
Title or Position: LIEUTENANT
Credential:
Phone: 276-688-4708