Provider Demographics
NPI:1235510306
Name:TOWN OF TAZEWELL
Entity Type:Organization
Organization Name:TOWN OF TAZEWELL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MAYOR
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:D
Authorized Official - Last Name:BUCHANAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:276-988-2501
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:24651-0608
Mailing Address - Country:US
Mailing Address - Phone:276-988-2501
Mailing Address - Fax:
Practice Address - Street 1:201 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:TAZEWELL
Practice Address - State:VA
Practice Address - Zip Code:24651-1005
Practice Address - Country:US
Practice Address - Phone:276-988-9062
Practice Address - Fax:276-988-9061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-15
Last Update Date:2015-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA13423416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport