Provider Demographics
NPI:1215358668
Name:FIRST CALL AMBULANCE SERVICE OF VIRGINIA, LLC
Entity Type:Organization
Organization Name:FIRST CALL AMBULANCE SERVICE OF VIRGINIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-620-4292
Mailing Address - Street 1:3502 BIRCHWOOD AVE NE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-3404
Mailing Address - Country:US
Mailing Address - Phone:540-808-1147
Mailing Address - Fax:540-808-1141
Practice Address - Street 1:3502 BIRCHWOOD AVE NE
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-3404
Practice Address - Country:US
Practice Address - Phone:540-808-1147
Practice Address - Fax:540-808-1141
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FIRST CALL AMBULANCE SERVICE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-02
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA13373416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport