NPI 1457714826

Mangohick Volunteer Fire Department INC.

Organisation Land Ambulance Aylett, VA

Practice location

Address: 3493 King William Rd., Aylett, VA 23009
Phone: (804) 994-9800
Mailing address: PO Box 715, Manquin, VA 23106-0715

Authorised official

Name: Andrea S. Jewell
Title: EMS Captain
Phone: (804) 769-4381

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X Licence 1069 (VA)

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Registry record

NPI: 1457714826
Entity type: Organization
NPI issued: 1 Apr 2016
Record last updated: 20 Jun 2018

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.