KENBRIDGE EMERGENCY SQUAD, INC. (NPI# 1497705255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497705255 |
| Entity Type | Organization |
| Organization Name | KENBRIDGE EMERGENCY SQUAD, INC. |
| Practice Address |
915 East 5th Ave Kenbridge VA 23944 |
| Mailing Address |
Po Box 328 Kenbridge VA 23944 |
| Practice Telephone | 4346764848 |
| Practice Fax Number | 4346764848 |
| Mailing Telephone | 4346764848 |
| Mailing Fax Number | 4346764824 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | KATHERINE EDMONDS STOKES (SECRETARY) |
| Authorized Official Telephone | 4346764848 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
176 | VA | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RR CARE | P00224440 | 01 |
| VA | 010201250 | 05 | |
| VA | OPTIMA | 94451 | 01 |
| Street Address |
915 EAST 5TH AVE |
| City | KENBRIDGE |
| State | VA |
| Zip Code | 23944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568003853 | Brenda Boswell | Technician | 451 Tinkling Road, Kenbridge, VA 23944 | 2019-10-08 |
| 1679720254 | Family Preservation Services, Inc | Community/Behavioral Health | 215 Nottoway Falls Rd, Kenbridge, VA 23944 | 2008-08-26 |
| 1386775112 | Chris Buchanan | Pharmacist | 111 S. Broad St., Kenbridge, VA 23944 | 2007-03-07 |
| 1487746822 | William Irby Jr Dds PC | Dentist | 107 S. Broad St., Kenbridge, VA 23944 | 2006-09-29 |
| 1619961182 | Smiths Pharmacy & Home Health Care Center of Kenbridge Inc | Pharmacy | 111 S Broad Street, Kenbridge, VA 23944 | 2005-09-09 |
| 1467978700 | Shakita Crenshaw | Driver | 305 S Broad St, Kenbridge, VA 23944 | 2017-08-18 |
| 1831508597 | Rebecca Reitz | Pharmacist | 111 S Broad St., Kenbridge, VA 23944-0538 | 2014-08-07 |
| 1376659227 | Carroll Millard Gee Jr. | Dentist | 121 Flat Rock Rd., Kenbridge, VA 23944-0688 | 2006-08-22 |
| 1861019366 | Jodi L'heureux | Nurse Practitioner | 101 Hillcrest Ln, Kenbridge, VA 23944-2003 | 2020-06-30 |
| 1336144807 | David W Michie | Family Medicine | 306 E 6th Ave, Kenbridge, VA 23944-2050 | 2005-06-20 |
| Find all providers in zip 23944 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
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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.