Healthcare Provider Details

I. General information

NPI: 1215975982
Provider Name (Legal Business Name): HAYSI RESCUE SQUAD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2006
Last Update Date: 03/15/2024
Certification Date: 03/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 SANDLICK ROAD
HAYSI VA
24256
US

IV. Provider business mailing address

PO BOX 329
HAYSI VA
24256-0329
US

V. Phone/Fax

Practice location:
  • Phone: 276-865-4065
  • Fax:
Mailing address:
  • Phone: 877-731-5464
  • Fax: 800-234-1627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number371
License Number StateVA

VIII. Authorized Official

Name: TERRY BARTLEY
Title or Position: CAPTAIN
Credential:
Phone: 276-644-4987