Provider Demographics
NPI:1649509365
Name:RURAL RETREAT VOLUNTEER EMERGENCY SERVICES, INC.
Entity type:Organization
Organization Name:RURAL RETREAT VOLUNTEER EMERGENCY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:EARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-686-6964
Mailing Address - Street 1:PO BOX 111
Mailing Address - Street 2:
Mailing Address - City:RURAL RETREAT
Mailing Address - State:VA
Mailing Address - Zip Code:24368-0111
Mailing Address - Country:US
Mailing Address - Phone:276-686-6964
Mailing Address - Fax:
Practice Address - Street 1:218 EAST RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:RURAL RETREAT
Practice Address - State:VA
Practice Address - Zip Code:24368-0000
Practice Address - Country:US
Practice Address - Phone:276-686-6964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-08
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2103416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport