SOUTHSIDE RESCUE SQUAD INC (NPI# 1093700742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093700742 |
| Entity Type | Organization |
| Organization Name | SOUTHSIDE RESCUE SQUAD INC |
| Practice Address |
810 W Atlantic St South Hill VA 23970-1808 |
| Mailing Address |
Po Box 660 South Hill VA 23970-0660 |
| Practice Telephone | 4344475038 |
| Mailing Telephone | 4344475038 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | MR. FLOYD EDMONDS (TREASURER) |
| Authorized Official Telephone | 4344475038 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 341600000X | Ambulance | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM | 351129 | 01 |
| NC | 4906637 | 05 |
| Street Address |
810 W ATLANTIC ST |
| City | SOUTH HILL |
| State | VA |
| Zip Code | 23970-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043784606 | Elizabeth Jene Ezell | Dental Hygienist | 604 N. Thomas St., South Hill, VA 23970 | 2019-01-17 |
| 1821576901 | Mackenzie Jean Blackwell | Dental Hygienist | 604 N. Thomas St, South Hill, VA 23970 | 2018-08-01 |
| 1316459357 | Bernita Danica Boyd | Contractor | 436 Theater Rd, South Hill, VA 23970 | 2017-10-31 |
| 1194242909 | More Transport LLC | Non-emergency Medical Transport (VAN) | 651 Clearview Dr, South Hill, VA 23970 | 2017-08-23 |
| 1912423534 | Larry D Warren | Driver | 730 Hite Street, Po Box 896, South Hill, VA 23970 | 2017-08-15 |
| 1902320658 | Lakika Lyshon Hicks | Non-emergency Medical Transport (VAN) | 74 Hudgins Road, South Hill, VA 23970 | 2017-08-02 |
| 1053835561 | Vernice Luevine Lewis | Driver | 11525 Highway One, South Hill, VA 23970 | 2017-07-27 |
| 1407376924 | Building Blocks To Success LLC | Occupational Therapist | 20429 Hwy Forty-seven, South Hill, VA 23970 | 2017-06-26 |
| 1316477136 | Eric Blackwell | Driver | 248 Circle Dr, South Hill, VA 23970 | 2017-06-14 |
| 1619341443 | North View Day Support LLC | Day Training, Developmentally Disabled Services | 359 Saffold Road, South Hill, VA 23970 | 2015-11-17 |
| Find all providers in zip 23970 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
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| 1922500883 | Tangier Volunteer Fire Department Inc. | Ambulance | 16344 Main Ridge Rd, Tangier, VA 23440-0239 | 2018-03-06 |
| 1255853016 | Elk Creek Rescue Squad Inc | Ambulance | 9109 Elk Creek Parkway, Elk Creek, VA 24326 | 2017-07-13 |
| 1528597200 | Central Lifesaving and Rescue Squad | Ambulance | 5736 Gasburg Road, Gasburg, VA 23857-2385 | 2017-06-07 |
| 1821538802 | Dryden Fire and Rescue | Ambulance | 961 Dryden Lp., Dryden, VA 24243-0206 | 2017-02-24 |
| 1093260846 | Miracle Medical Transport | Ambulance | 2597 Quality Ct, Unit 101, Virginia Beach, VA 23454-5299 | 2016-08-22 |
| 1649623075 | Emergency Training Systems | Ambulance | 7494 Industrial Park Rd, Mechanicsville, VA 23116-1510 | 2016-07-21 |
| 1215382502 | Wellness Ambulance Transport LLC | Ambulance | 16510 Bobster Ct, Woodbridge, VA 22191-6316 | 2016-04-25 |
| 1184093460 | Ararat Volunteer Rescue Squad Incorporated | Ambulance | 4690 Ararat Hwy, Ararat, VA 24053-8888 | 2015-09-17 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH HILL |
| Zip Code | 23970 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.