MEDICARE: WILLIAMSBURG VOLUNTEER RESCUE SQUAD

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	3416L0300X	Land Ambulance		WV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982604716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WILLIAMSBURG VOLUNTEER RESCUE SQUAD

Provider Business Mailing Address
First Line	:	836 4TH AVE
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25701-1407
Country	:	US
Telephone Number	:	800-676-4785
Fax Number	:	304-522-4222

Provider Business Practice Location Address
First Line	:	SINKING CREEK CHURCH RD
Second Line	:
City	:	WILLIAMSBURG
State	:	WV
Zip	:	24991
Country	:	US
Telephone Number	:	304-645-1879
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	LOLA MULLINS
Credential	:
Telephone Number	:	304-645-1879

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	08/22/2020

Similar Medicare Providers

1932203122 — NORTHERN GREENBRIER HEALTH CLINIC, INC
Practice Location Address:

RT 9 SINKING CREEK RD
WILLIAMSBURG, WV
24991-0010

Practice Phone: 304-645-7872
Practice Fax: 304-645-7873

1386025310 — JESSE R. CHAFFIN MD
Practice Location Address:

6633 SHOESTRING TRL
WILLIAMSBURG, WV
24991-3200

Practice Phone: 304-645-7872
Practice Fax:

1669835989 — COMMUNITY HEALTH SYSTEMS INC.
Practice Location Address:

8965 SHOESTRING TRAIL
WILLIAMSBURG, WV
24991-0010

Practice Phone: 304-645-7872
Practice Fax: 304-645-7873

1396359832 — JOHN GLEN WOOD
Practice Location Address:

257 RAILROAD LN
WILLIAMSBURG, WV
24991-4902

Practice Phone: 304-992-5074
Practice Fax:

1508453952 — TARA BUTCHER
Practice Location Address:

1562 TROUT RD
WILLIAMSBURG, WV
24991-3216

Practice Phone: 304-667-0728
Practice Fax:

1225752637 — TIMOTHY DEAN STAFFORD
Practice Location Address:

9344 SHOESTRING TRL
WILLIAMSBURG, WV
24991-0141

Practice Phone: 304-661-2336
Practice Fax:

Directions to “WILLIAMSBURG VOLUNTEER RESCUE SQUAD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.