Provider Demographics
NPI:1376952218
Name:TOWN OF MARION, MARION FIRE/EMS
Entity type:Organization
Organization Name:TOWN OF MARION, MARION FIRE/EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:RUSTY
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-783-0916
Mailing Address - Street 1:PO BOX 1005
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:VA
Mailing Address - Zip Code:24354-1005
Mailing Address - Country:US
Mailing Address - Phone:276-783-4113
Mailing Address - Fax:276-783-8413
Practice Address - Street 1:231 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:VA
Practice Address - Zip Code:24354-2530
Practice Address - Country:US
Practice Address - Phone:276-783-4526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOWN OF MARION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-05
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1376952218Medicaid