SOUTHSIDE RESCUE SQUAD INC NPI 1093700742

NPI Information

  • NPI: 1093700742
  • Provider Name: SOUTHSIDE RESCUE SQUAD INC
  • Classification: Ambulance - 341600000X
  • Entity Type: Organization
  • Address: 810 W ATLANTIC ST
    SOUTH HILL, VA
    ZIP 23970
  • Phone: (434) 447-5038

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NPI Details

SOUTHSIDE RESCUE SQUAD INC is an ambulance in South Hill, 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). SOUTHSIDE RESCUE SQUAD INC NPI is 1093700742. The provider is registered as an organization entity type.

The provider's business location address is:

810 W ATLANTIC ST
SOUTH HILL, VA
ZIP 23970-808
Phone: (434) 447-5038

The provider's authorized official is Floyd Edmonds .
The authorized official title is Treasurer and has the following contact phone number (434) 447-5038.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ground mileage, per statute mile (HCPCS:A0425)
  • Ambulance service, basic life support, emergency transport (bls-emergency) (HCPCS:A0429)
  • Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) (HCPCS:A0427)

The enumeration date for this NPI number is 9/19/2005 and was last updated on 10/15/2007.

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
1341600000XAmbulanceYes

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
1351129OTHERVIRGINIAANTHEM
24906637MEDICAIDNORTH CAROLINA

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: 11/21/2025

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