Provider Demographics
NPI:1548923154
Name:BLACKSBURG VOLUNTEER RESCUE SQUAD
Entity type:Organization
Organization Name:BLACKSBURG VOLUNTEER RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:ENGLISH
Authorized Official - Suffix:
Authorized Official - Credentials:NRP, MPA
Authorized Official - Phone:540-443-1631
Mailing Address - Street 1:1300 PROGRESS ST NW
Mailing Address - Street 2:
Mailing Address - City:BLACKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24060-7909
Mailing Address - Country:US
Mailing Address - Phone:540-443-1630
Mailing Address - Fax:540-951-4424
Practice Address - Street 1:1300 PROGRESS ST NW
Practice Address - Street 2:
Practice Address - City:BLACKSBURG
Practice Address - State:VA
Practice Address - Zip Code:24060-7909
Practice Address - Country:US
Practice Address - Phone:540-443-1630
Practice Address - Fax:540-951-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-20
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport