Provider Demographics
NPI:1578582433
Name:G & W AMBULANCE INC
Entity Type:Organization
Organization Name:G & W AMBULANCE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:DRIVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-867-9092
Mailing Address - Street 1:7819 WAR BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-0024
Mailing Address - Country:US
Mailing Address - Phone:540-867-9092
Mailing Address - Fax:540-867-5417
Practice Address - Street 1:38 WHITMORE SHOP RD
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-0024
Practice Address - Country:US
Practice Address - Phone:540-867-9092
Practice Address - Fax:540-867-5417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA737341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA020267OtherANTHEM
VA33989OtherSENTARA
WV0145015000Medicaid