Provider Demographics
NPI:1659338176
Name:BAYWOOD RESCUE SQUAD
Entity Type:Organization
Organization Name:BAYWOOD RESCUE SQUAD
Other - Org Name:BAYWOOD SEARCH AND RESCUE SQUAD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:G
Authorized Official - Last Name:RECTOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-236-6888
Mailing Address - Street 1:47 CROSSROADS DRIVE
Mailing Address - Street 2:
Mailing Address - City:GALAX
Mailing Address - State:VA
Mailing Address - Zip Code:24333-3782
Mailing Address - Country:US
Mailing Address - Phone:276-236-8690
Mailing Address - Fax:276-236-8690
Practice Address - Street 1:47 CROSSROADS DRIVE
Practice Address - Street 2:
Practice Address - City:GALAX
Practice Address - State:VA
Practice Address - Zip Code:24333-3782
Practice Address - Country:US
Practice Address - Phone:276-236-8690
Practice Address - Fax:276-236-8690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00514341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance