Provider Demographics
NPI:1376575134
Name:DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Entity Type:Organization
Organization Name:DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Other - Org Name:FAIRFAX COUNTY FIRE & RESCUE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE & RESCUE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-246-2546
Mailing Address - Street 1:PO BOX 18008
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22118-0010
Mailing Address - Country:US
Mailing Address - Phone:877-874-4425
Mailing Address - Fax:937-291-0236
Practice Address - Street 1:12099 GOVERNMENT CENTER PKWY
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22035-5501
Practice Address - Country:US
Practice Address - Phone:703-246-2126
Practice Address - Fax:703-273-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA253341600000X
341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00224127OtherRAILROAD MEDICARE
VA178627OtherANTHEM
VA010148839Medicaid
VAP00224127OtherRAILROAD MEDICARE