1578582433 NPI number — G & W AMBULANCE INC

Table of content: (NPI 1578582433)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1578582433 NPI number — G & W AMBULANCE INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
G & W AMBULANCE INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1578582433
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7819 WAR BRANCH RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HARRISONBURG
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22802-0024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-867-9092
Provider Business Mailing Address Fax Number:
540-867-5417

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
38 WHITMORE SHOP RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARRISONBURG
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22802-0024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-867-9092
Provider Business Practice Location Address Fax Number:
540-867-5417
Provider Enumeration Date:
07/19/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
DRIVER
Authorized Official First Name:
WANDA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
SECRETARY TREASURER
Authorized Official Telephone Number:
540-867-9092

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  737 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 020267 . This is a "ANTHEM" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 33989 . This is a "SENTARA" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 0145015000 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".