| NPI | 1609821792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BAGWELL Chief 757-665-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3416L0300X Ambulance, Land Transport |
| Additional Taxonomies | 341600000X Ambulance (Licence: VA 454) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-12-07 |