Healthcare Provider Details

I. General information

NPI: 1518420876
Provider Name (Legal Business Name): THE TROUTDALE COMMUNITY VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2019
Last Update Date: 04/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

291 RIPSHIN ROAD
TROUTDALE VA
24378
US

IV. Provider business mailing address

PO BOX 160
TROUTDALE VA
24378-0160
US

V. Phone/Fax

Practice location:
  • Phone: 276-677-3566
  • Fax: 276-677-0205
Mailing address:
  • Phone: 276-677-3566
  • Fax: 276-677-0205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: JUDY ARNOLD
Title or Position: CAPTAIN
Credential:
Phone: 276-677-3566