Provider Demographics
NPI:1235437385
Name:PRINCE WILLIAM COUNTY
Entity Type:Organization
Organization Name:PRINCE WILLIAM COUNTY
Other - Org Name:PRINCE WILLIAM COUNTY DEPARTMENT OF FIRE AND RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM MANAGER EMS BILLING
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-792-6317
Mailing Address - Street 1:PO BOX 711612
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19171-1612
Mailing Address - Country:US
Mailing Address - Phone:703-792-6800
Mailing Address - Fax:703-792-4362
Practice Address - Street 1:1 COUNTY COMPLEX CT
Practice Address - Street 2:
Practice Address - City:PRINCE WILLIAM
Practice Address - State:VA
Practice Address - Zip Code:22192-9201
Practice Address - Country:US
Practice Address - Phone:703-792-6800
Practice Address - Fax:703-792-4362
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-14
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA90341600000X
341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance