Healthcare Provider Details

I. General information

NPI: 1659327625
Provider Name (Legal Business Name): CARROLL COUNTY EMERGENCY MEDICAL SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 10/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 PINE ST
HILLSVILLE VA
24343-1463
US

IV. Provider business mailing address

605 PINE ST
HILLSVILLE VA
24343-1463
US

V. Phone/Fax

Practice location:
  • Phone: 276-728-3710
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateVA

VIII. Authorized Official

Name: KATHY SURRATT
Title or Position: ADMINISTRATOR
Credential:
Phone: 276-728-3710