Provider Demographics
NPI:1255333563
Name:CITY OF ROANOKE EMS
Entity Type:Organization
Organization Name:CITY OF ROANOKE EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPPORT ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:D
Authorized Official - Last Name:STOVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-853-2216
Mailing Address - Street 1:PO BOX 20582
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24018-0059
Mailing Address - Country:US
Mailing Address - Phone:540-767-2700
Mailing Address - Fax:540-767-2708
Practice Address - Street 1:541 LUCK AVE SW
Practice Address - Street 2:STE 120
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-5055
Practice Address - Country:US
Practice Address - Phone:540-853-2216
Practice Address - Fax:540-853-1172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport