Provider Demographics
NPI:1982938445
Name:HARRISONBURG RESCUE SQUAD INCORPORATED
Entity Type:Organization
Organization Name:HARRISONBURG RESCUE SQUAD INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN/EMT-CT
Authorized Official - Phone:540-434-2323
Mailing Address - Street 1:1700 RESERVOIR ST
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-8744
Mailing Address - Country:US
Mailing Address - Phone:540-434-2323
Mailing Address - Fax:
Practice Address - Street 1:1700 RESERVOIR ST
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-8744
Practice Address - Country:US
Practice Address - Phone:540-434-2323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2010-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA245341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1982938445Medicaid
VA1982938445Medicaid