Provider Demographics
NPI:1003053158
Name:RICHMOND COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:RICHMOND COUNTY BOARD OF SUPERVISORS
Other - Org Name:RICHMOND COUNTY DIVISION OF EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:DUNCANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-333-3415
Mailing Address - Street 1:PO BOX 636635
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-0001
Mailing Address - Country:US
Mailing Address - Phone:937-424-3701
Mailing Address - Fax:937-291-2971
Practice Address - Street 1:101 COURT CIRCLE
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572
Practice Address - Country:US
Practice Address - Phone:804-333-5089
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1284341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1003053158Medicaid
VAP00707651OtherRAILROAD MEDICARE
VA1003053158OtherANTHEM
VAP00707651OtherRAILROAD MEDICARE