NPI 1497839716 · live from the CMS NPI Registry
Beacon Of Life Ambulance Service
Ambulance, Land Transport in St. Paul, VA. National Provider Identifier 1497839716, active.
NPI record
| NPI | 1497839716 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Ambulance, Land Transport 3416L0300X |
| Practice location | 16559 Riverside Dr, St. Paul, VA 24283 |
| Practice phone | 276-237-7167 |
| Mailing address | 109 S. Main St, Galax, VA 24333 |
| Enumerated | October 24, 2006 |
| Last updated | July 23, 2012 |
| Authorized official | Ouida Jordan, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulance, Land Transport primary | 3416L0300X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.