RIDGEWAY DISTRICT RESCUE SQUAD INC. NPI 1073713137

NPI Information

NPI: 1073713137
Provider Name: RIDGEWAY DISTRICT RESCUE SQUAD INC.
Classification: Ambulance - 341600000X
Entity Type: Organization

CLIA Number: 49D2136905

Address:
108 MAGNOLIA STREET
RIDGEWAY, VA
ZIP 24148
Phone: (276) 956-5889
Get Directions

RIDGEWAY DISTRICT RESCUE SQUAD INC. is an ambulance in Ridgeway, VA. The provider is an emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). RIDGEWAY DISTRICT RESCUE SQUAD INC. NPI is 1073713137. The provider is registered as an organization entity type.

The provider's business location address is:

108 MAGNOLIA STREET
RIDGEWAY, VA
ZIP 24148-611
Phone: (276) 956-5889
Fax: (276) 292-2910

The provider's authorized official is Travis L Pruitt .
The authorized official title is Captain and has the following contact phone number (276) 226-0409.

The CLIA number assigned to this NPI record is 49D2136905 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/18/2007 and was last updated on 10/8/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	341600000X	Ambulance		331	VIRGINIA	No
2	341600000X	Ambulance			VIRGINIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	190001974	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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