Provider Demographics
NPI:1275515272
Name:CITY OF WASHINGTON FINANCE DIRECTOR
Entity Type:Organization
Organization Name:CITY OF WASHINGTON FINANCE DIRECTOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OF DEPARTMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:C
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:CHIEF
Authorized Official - Phone:252-948-9400
Mailing Address - Street 1:PO BOX 1988
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27889-1988
Mailing Address - Country:US
Mailing Address - Phone:252-975-9377
Mailing Address - Fax:252-975-6048
Practice Address - Street 1:410 N MARKET ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:NC
Practice Address - Zip Code:27889-4936
Practice Address - Country:US
Practice Address - Phone:252-948-9400
Practice Address - Fax:252-975-6048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-16
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0070015146N00000X, 341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3406638Medicaid
NC0726AOtherBCBS
NC0726AOtherBCBS