Healthcare Provider Details

I. General information

NPI: 1790731263
Provider Name (Legal Business Name): VICTORIA FIRE AND RESCUE COMPANY, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 02/25/2020
Certification Date: 02/25/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 MAIN ST
VICTORIA VA
23974-9201
US

IV. Provider business mailing address

PO BOX 1419
VICTORIA VA
23974-1419
US

V. Phone/Fax

Practice location:
  • Phone: 804-696-2605
  • Fax:
Mailing address:
  • Phone: 434-696-2605
  • Fax: 434-696-1283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number402
License Number StateVA

VIII. Authorized Official

Name: RODNEY C NEWTON
Title or Position: CHIEF
Credential:
Phone: 434-447-9715