Provider Demographics
NPI:1790731263
Name:VICTORIA FIRE AND RESCUE COMPANY, INCORPORATED
Entity Type:Organization
Organization Name:VICTORIA FIRE AND RESCUE COMPANY, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:C
Authorized Official - Last Name:NEWTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-447-9715
Mailing Address - Street 1:PO BOX 1419
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23974-1419
Mailing Address - Country:US
Mailing Address - Phone:434-696-2605
Mailing Address - Fax:434-696-1283
Practice Address - Street 1:1421 MAIN ST
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:VA
Practice Address - Zip Code:23974-9201
Practice Address - Country:US
Practice Address - Phone:804-696-2605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA402341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1790731263Medicaid
590000222Medicare ID - Type Unspecified