Provider Demographics
NPI:1164525655
Name:RICHLANDS VOLUNTEER RESCUE SQUAD, INC.
Entity Type:Organization
Organization Name:RICHLANDS VOLUNTEER RESCUE SQUAD, INC.
Other - Org Name:RICHLANDS RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISRTATOR CAPTIAN
Authorized Official - Prefix:
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-963-2189
Mailing Address - Street 1:PO BOX 999
Mailing Address - Street 2:
Mailing Address - City:OCEANA
Mailing Address - State:WV
Mailing Address - Zip Code:24870-0999
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1800 THIRD STREET
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:VA
Practice Address - Zip Code:24641
Practice Address - Country:US
Practice Address - Phone:276-963-2189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport