Provider Demographics
NPI:1164133682
Name:MECKLENBURG COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:MECKLENBURG COUNTY BOARD OF SUPERVISORS
Other - Org Name:MECKLENBURG COUNTY EMERGENCY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:BAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-333-4593
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:VA
Mailing Address - Zip Code:22572-0070
Mailing Address - Country:US
Mailing Address - Phone:804-333-4593
Mailing Address - Fax:804-333-4614
Practice Address - Street 1:350 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOYDTON
Practice Address - State:VA
Practice Address - Zip Code:23917-2257
Practice Address - Country:US
Practice Address - Phone:804-333-4593
Practice Address - Fax:804-333-4614
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MECKLENBURG COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-06
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance