Town of Pennington Gap
NPI #1114642428 in Pennington Gap, Virginia
Provider Information
- NPI Number
- 1114642428
- Entity Type
- Organization
- Organization Name
- Town of Pennington Gap
- Primary Specialty
- Ambulance - Land Transport
- Enumeration Date
- Oct 10, 2022
- Last Updated
- Nov 17, 2022
Practice Location
- Address
- 296 N KENTUCKY ST
- City
- Pennington Gap
- State
- Virginia
- ZIP Code
- 24277-2226
- Phone
- (276) 546-1177
Authorized Official
- Name
- MR. DESTINY VAN METRE
- Title
- MANAGER
- Phone
- (270) 744-8413
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ambulance - Land Transport — Land Transport |
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