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NPI Code Detail

MEDICARE: MILLS HASTINGS HARRIS EMT-B

MEDICARE: MILLS HASTINGS HARRIS EMT-B
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1146N00000XBasic Emergency Medical TechnicianB202505225VA

General Provider Information

NPI Number : 1265385561
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILLS HASTINGS HARRIS EMT-B
Provider Business Mailing Address
First Line : 2523 ROSALIND AVE SW APT 3
Second Line :
City : ROANOKE
State : VA
Zip : 24014-2370
Country : US
Telephone Number : 540-588-5441
Fax Number :
Provider Business Practice Location Address
First Line : 1906 BELLEVIEW AVE SE
Second Line :
City : ROANOKE
State : VA
Zip : 24014-1838
Country : US
Telephone Number : 540-981-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2026
Last Update Date : 02/17/2026

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