Provider Demographics
NPI:1386949329
Name:VOLUNTEER LIFE SAVING AND RESCUE UNIT, INC.
Entity type:Organization
Organization Name:VOLUNTEER LIFE SAVING AND RESCUE UNIT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:JEFFERY
Authorized Official - Last Name:RAYE
Authorized Official - Suffix:
Authorized Official - Credentials:NREMTP
Authorized Official - Phone:828-286-9845
Mailing Address - Street 1:561 RAILROAD AVE
Mailing Address - Street 2:PO BOX 1658
Mailing Address - City:RUTHERFORDTON
Mailing Address - State:NC
Mailing Address - Zip Code:28139-2728
Mailing Address - Country:US
Mailing Address - Phone:828-286-9845
Mailing Address - Fax:828-286-8892
Practice Address - Street 1:561 RAILROAD AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2728
Practice Address - Country:US
Practice Address - Phone:828-286-9845
Practice Address - Fax:828-286-8892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-24
Last Update Date:2012-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0810298341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance