CHASE CITY RESCUE SQUAD, INC. (NPI# 1912957929) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912957929 |
| Entity Type | Organization |
| Organization Name | CHASE CITY RESCUE SQUAD, INC. |
| Practice Address |
335 Mecklenburg Drive Chase City VA 23924 |
| Mailing Address |
Po Box 81 Chase City VA 23924 |
| Practice Telephone | 4343722144 |
| Practice Fax Number | 4343720626 |
| Mailing Telephone | 4343722144 |
| Mailing Fax Number | 4343720626 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2010-10-18 |
| Authorized Official Name | MR. CURTIS DODD JONES (PRESIDENT) |
| Authorized Official Telephone | 4343722144 |
| Authorized Official Credential | EMTI |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 146M00000X | Emergency Medical Technician, Intermediate | 167 | VA | Emergency Medical Service Providers |
| N | 146L00000X | Emergency Medical Technician, Paramedic | 167 | VA | Emergency Medical Service Providers |
| Y | 146N00000X | Emergency Medical Technician, Basic | 167 | VA | Emergency Medical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | RR MEDICARE | P00021753 | 01 |
| VA | ANTHEM | 465594 | 01 |
| VA | 010007372 | 05 | |
| VA | OPTIMA | 70772 | 01 |
| Street Address |
335 MECKLENBURG DRIVE |
| City | CHASE CITY |
| State | VA |
| Zip Code | 23924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588209647 | Miranda Fields | Nurse Practitioner | 5539 Va-47, Chase City, VA 23924 | 2019-11-13 |
| 1174746390 | Cheryl Evans Lard | Occupational Therapist | 5339 Hwy 47, Chase City, VA 23924 | 2007-04-10 |
| 1114067642 | Fw Richards Jr Inc | Pharmacy | 932 North Main St, Chase City, VA 23924 | 2007-02-07 |
| 1063581593 | William Lynn Thomas | Dentist | 237 E. 5th Street, Chase City, VA 23924 | 2006-11-07 |
| 1689772238 | Dominion Health Medical Assoc | Legal Medicine | 946 N. Main St, Chase City, VA 23924 | 2006-09-20 |
| 1124566070 | Being A Blessing Consulting Agency, LLC | Home Health | 518 N Main St, Chase City, VA 23924 | 2017-02-10 |
| 1457748600 | Save Our Future Inc | Health Maintenance Organization | 921 N. Main Street, Chase City, VA 23924 | 2015-04-24 |
| 1912420167 | Reliable Transportation Service LLC | Non-emergency Medical Transport (VAN) | 568 N Washington St, Chase City, VA 23924-1107 | 2017-07-19 |
| 1780230649 | Mark Joseph Hairston | Pharmacist | 610 N Main St, Chase City, VA 23924-1133 | 2019-08-15 |
| 1518060268 | Virginia Cvs Pharmacy LLC | Pharmacy | 610 N Main St, Chase City, VA 23924-1133 | 2006-09-07 |
| Find all providers in zip 23924 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407473465 | Sage Teasley | Emergency Medical Technician, Basic | 11212 Hunting Horse Dr, Fairfax Station, VA 22039-2017 | 2020-06-25 |
| 1417596370 | Misty Lynne Gersley | Emergency Medical Technician, Basic | 701 Independence Cir Ste 201, Virginia Beach, VA 23455-6439 | 2019-12-24 |
| 1649813007 | Gregory M Arnold | Emergency Medical Technician, Basic | 8206 Tyndale Rd, Richmond, VA 23227-1639 | 2019-10-17 |
| 1124517636 | Hiba Tur Rafiq | Emergency Medical Technician, Basic | 117 Austin Dr, Stafford, VA 22556-1332 | 2018-05-09 |
| 1669973913 | Elizabeth Keesler | Emergency Medical Technician, Basic | 775 Gateway Dr Se, Apt. 516, Leesburg, VA 20175-4045 | 2018-02-22 |
| 1518492990 | April Everton | Emergency Medical Technician, Basic | 203 Sir John Way, Seaford, VA 23696-2474 | 2017-04-24 |
| 1184157109 | Dessalegn Techane Assefa I | Emergency Medical Technician, Basic | 5719 Barnwood Dr, North Chesterfield, VA 23234-7711 | 2017-04-06 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1942687702 | Peter Griffin | Emergency Medical Technician, Basic | 1501 Patterson Ave Sw, Apt 6, Roanoke, VA 24016-3258 | 2015-04-30 |
| 1851731228 | Michaelena Jo Oberschlake | Emergency Medical Technician, Basic | 1019 Ann St, Apt D3, Portsmouth, VA 23704-2262 | 2013-07-01 |
| Find all providers with the same taxonomy | ||||
| City | CHASE CITY |
| Zip Code | 23924 |
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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.