NPI 1528163052

Southside Virginia Emergency Crew,inc.

Organisation Ambulance Petersburg, VA

Practice location

Address: 425 Graham Rd, Petersburg, VA 23805-1450
Phone: (804) 861-2739
Fax: (804) 861-4184
Mailing address: PO Box 574, Petersburg, VA 23804-0574

Authorised official

Name: Edward Bish
Title: Director of Operations
Phone: (804) 861-2739

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence 00298 (VA)

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Registry record

NPI: 1528163052
Entity type: Organization
NPI issued: 13 Sep 2006
Record last updated: 20 Feb 2012

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.