NPI 1023276854

Sandy Ridge Volunteer Rescue Squad

Organisation Ambulance Coeburn, VA

Practice location

Address: 109 Carico Ridge, Coeburn, VA 24230
Phone: (877) 731-5464
Fax: (800) 234-1627
Mailing address: PO Box 580, Nora, VA 24272-0580

Authorised official

Name: Matthew Slemp
Title: Captain
Phone: (877) 731-5464

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence EMS330 (VA)

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Registry record

NPI: 1023276854
Entity type: Organization
NPI issued: 29 May 2008
Record last updated: 20 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.