Provider Demographics
NPI:1336194604
Name:OAK HALL RESCUE INC.
Entity Type:Organization
Organization Name:OAK HALL RESCUE INC.
Other - Org Name:EASTERN SHORE BILLING SERVICES LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LINTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-365-4973
Mailing Address - Street 1:PO BOX 128
Mailing Address - Street 2:
Mailing Address - City:OAK HALL
Mailing Address - State:VA
Mailing Address - Zip Code:23416-0128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:30057 AMBULANCE RD
Practice Address - Street 2:
Practice Address - City:OAK HALL
Practice Address - State:VA
Practice Address - Zip Code:23416
Practice Address - Country:US
Practice Address - Phone:757-824-3370
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA376341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
38878OtherOPTIMA
019107OtherBCBS
VA009014322Medicaid
590014538OtherRR CARE