WISE RESCUE SQUAD INC (NPI# 1891013520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891013520 |
| Entity Type | Organization |
| Organization Name | WISE RESCUE SQUAD INC |
| Practice Address |
302 Railroad Ave Wise VA 24293 |
| Mailing Address |
Po Box 1161 Wise VA 24293-1161 |
| Practice Telephone | 2763283063 |
| Mailing Telephone | 2763283063 |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | MR. TIM V DOTSON (ADMINISTRATOR) |
| Authorized Official Telephone | 2763283037 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
0004 | VA | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | WISE RESCUE SQUAD INC. | Po Box 1161, Wise, Virginia 24293 |
| Street Address |
302 RAILROAD AVE |
| City | WISE |
| State | VA |
| Zip Code | 24293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1225652340 | Jessica Wertz | Technician | 7507 Caddo Rd, Wise, VA 24293 | 2020-06-04 |
| 1831743632 | Ttgi2 LLC | Pharmacy | 426 West Main Street, Wise, VA 24293 | 2019-07-30 |
| 1861919730 | Mckenzie Grace Trotter | Speech-Language Pathologist | 324 School Ave Southeast, Wise, VA 24293 | 2017-08-23 |
| 1043734023 | 3 Guys Transport LLC | Non-emergency Medical Transport (VAN) | 5519 Pole Bridge Road, Wise, VA 24293 | 2017-08-01 |
| 1013352699 | Tester Chiropractic LLC. | Chiropractor | 411 East Main Street, Wise, VA 24293 | 2013-05-08 |
| 1861737181 | Family Preservation Services, Inc | Community/Behavioral Health | 5913 Airport Road, Wise, VA 24293 | 2012-11-28 |
| 1255614749 | Family Preservation Services, Inc | Community/Behavioral Health | 342 School Street, Wise, VA 24293 | 2011-09-21 |
| 1477784148 | Family Preservation Services, Inc. | Community/Behavioral Health | 117 Independence Avenue, Wise, VA 24293 | 2009-07-29 |
| 1144479353 | New Vision Optical -wise LLC | Durable Medical Equipment & Medical Supplies | 135 Wise County Plaza, Wise, VA 24293 | 2008-09-11 |
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| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205828779 | Lifecare Ambulance Service, Inc. | Ambulance | 1728 Norton Road Sw, Wise, VA 24293-1069 | 2005-08-19 |
| 1356311476 | Friendship Ambulance Service Inc | Ambulance | 119 W Main St, Wise, VA 24293 | 2006-01-23 |
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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.