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MECKLENBURG COUNTY LIFE SAVING & RESCUE SQUAD INC
NPI 1063495240
Ambulance - Land Transport in Clarksville, VA

Active since November 22, 2005
25 BURLINGTON DR, CLARKSVILLE, VA 23927(434) 374-2466(434) 374-3332 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mecklenburg County Life Saving & Rescue Squad Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MECKLENBURG COUNTY LIFE SAVING & RESCUE SQUAD INC (NPI 1063495240) is a healthcare organization registered as a land transport in Clarksville, Virginia and active in the NPI registry since November 2005. The organization lists Deborah Osborn, Supervisor, as its authorized official.

NPPES Registry Identity

NPI1063495240
Entity TypeOrganization
Primary Taxonomy3416L0300X
Legal Business NameMECKLENBURG COUNTY LIFE SAVING & RESCUE SQUAD INC
Location Address25 BURLINGTON DRClarksville, VA 23927-3235
Mailing AddressPo Box 1539Clarksville, VA 23927-1539 · (434) 374-2466 · Fax (434) 374-3332
Phone(434) 374-2466
Fax(434) 374-3332
Organization SubpartNo
Authorized OfficialDeborah OsbornSupervisor · (434) 374-2466
Enumeration DateNovember 22, 2005
Last NPPES UpdateFebruary 9, 2016
✔ NPI 1063495240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAmbulance · Land TransportTransportation Services
Taxonomy Code3416L0300X
License✔ Licensed in VA · 168
Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X · License 168 (VA)
25 BURLINGTON DR, Clarksville, VA 23927
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Other Identifiers 2

Medicare ID-Type Unspecified190001293VA
Medicaid010190398VA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CASSIANNE KELLY
Emergency Medical Technician, Intermediate
25 BURLINGTON DR
CLARKSVILLE, VA 23927
Mecklenburg County (434) 738-0028

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mecklenburg County Life Saving & Rescue Squad Inc's NPI number?

The NPI number for Mecklenburg County Life Saving & Rescue Squad Inc is 1063495240. It was assigned to this organization in the NPPES registry on November 22, 2005.

Where is Mecklenburg County Life Saving & Rescue Squad Inc located?

Mecklenburg County Life Saving & Rescue Squad Inc is located at 25 Burlington Dr, Clarksville, VA 23927. The listed phone number is (434) 374-2466.

What is Mecklenburg County Life Saving & Rescue Squad Inc's specialty?

The primary specialty registered for this NPI is Ambulance, specializing in Land Transport, with taxonomy code 3416L0300X.

When was this NPI record last updated?

The NPPES record for Mecklenburg County Life Saving & Rescue Squad Inc was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.