MEDICARE: VIRGINIA AMBULANCE SERVICE INC.

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
1	341600000X	Ambulance	715	VA

General Provider Information

NPI Number	:	1851394159
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA AMBULANCE SERVICE INC.

Provider Business Mailing Address
First Line	:	PO BOX 4578
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-0578
Country	:	US
Telephone Number	:	434-832-0320
Fax Number	:	434-832-0322

Provider Business Practice Location Address
First Line	:	543 CROWELL LN
Second Line	:
City	:	LYNCHBURG
State	:	VA
Zip	:	24502-5571
Country	:	US
Telephone Number	:	434-832-0320
Fax Number	:	434-832-0322

Authorized Official
Title or Position	:	OFFICE MANGER/TREASURER
Name	:	MRS. GERALDINE NASH RILEY
Credential	:
Telephone Number	:	434-832-0320

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/22/2020

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