NPI 1720409246

Sandy Ridge Rescue Squad

Organisation Land Ambulance Coeburn, VA

Practice location

Address: 109 Carico Rdg, Coeburn, VA 24230-6418
Phone: (276) 395-3847
Fax: (276) 395-3847
Mailing address: PO Box 550, Nora, VA 24272-0550

Authorised official

Name: Matthew D Slemp
Title: President/Captain
Phone: (276) 395-3847

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X

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Registry record

NPI: 1720409246
Entity type: Organization
NPI issued: 31 Dec 2013
Record last updated: 29 Mar 2016

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.