Provider Demographics
NPI:1245252329
Name:MONTROSS VOLUNTEER RESCUE SQUAD
Entity type:Organization
Organization Name:MONTROSS VOLUNTEER RESCUE SQUAD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:TOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-493-8600
Mailing Address - Street 1:72 LLYELLS ST
Mailing Address - Street 2:
Mailing Address - City:MONTROSS
Mailing Address - State:VA
Mailing Address - Zip Code:22520
Mailing Address - Country:US
Mailing Address - Phone:804-493-8600
Mailing Address - Fax:
Practice Address - Street 1:72 LLYELLS ST
Practice Address - Street 2:
Practice Address - City:MONTROSS
Practice Address - State:VA
Practice Address - Zip Code:22520
Practice Address - Country:US
Practice Address - Phone:804-493-8600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00566341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance