Provider Demographics
NPI:1083664031
Name:CITY OF LYNCHBURG
Entity Type:Organization
Organization Name:CITY OF LYNCHBURG
Other - Org Name:LYNCHBURG FIRE & EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:FIRE EMS CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:B
Authorized Official - Last Name:FERGUSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-455-6340
Mailing Address - Street 1:PO BOX 62369
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23466
Mailing Address - Country:US
Mailing Address - Phone:434-455-6340
Mailing Address - Fax:
Practice Address - Street 1:800 MADISON ST
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24504
Practice Address - Country:US
Practice Address - Phone:434-455-6340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA143341600000X
VA142341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA12205OtherOPTIMA
VA064417OtherANTHEM
VA064417OtherANTHEM