BOYDTON LIFE STATION INC NPI 1861441073

NPI Information

NPI: 1861441073
Provider Name: BOYDTON LIFE STATION INC
Classification: Ambulance - 3416L0300X
Entity Type: Organization

Specialization: Land Transport

Address:
349 MADISON ST
BOYDTON, VA
ZIP 23917
Phone: (434) 738-6896
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BOYDTON LIFE STATION INC is a land transport ambulance in Boydton, VA. BOYDTON LIFE STATION INC NPI is 1861441073. The provider is registered as an organization entity type.

The provider's business location address is:

349 MADISON ST
BOYDTON, VA
ZIP 23917-102
Phone: (434) 738-6896
Fax: (434) 738-6896

The provider's authorized official is John Emit Toone .
The authorized official title is Captain and has the following contact phone number (434) 738-6896.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 4/20/2008.

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	3416L0300X	Ambulance	Land Transport	553	VIRGINIA	No
2	3416L0300X	Ambulance	Land Transport		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	0007372434	OTHER	KENTUCKY	AETNA
2	P00029115	OTHER	GEORGIA	PALMETTO GBA RR MEDICARE
3	465597	OTHER	VIRGINIA	ANTHEM BCBS
4	=========	OTHER	VIRGINIA	TRICARE

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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