Provider Demographics
NPI:1407039126
Name:WESTMORELAND COUNTY
Entity Type:Organization
Organization Name:WESTMORELAND COUNTY
Other - Org Name:WESTMORELAND COUNTY DEPT OF EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:DEPUTY EMS COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CALVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALDERSON
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-493-0130
Mailing Address - Street 1:PO BOX 1000
Mailing Address - Street 2:
Mailing Address - City:MONTROSS
Mailing Address - State:VA
Mailing Address - Zip Code:22520-1000
Mailing Address - Country:US
Mailing Address - Phone:804-493-0130
Mailing Address - Fax:
Practice Address - Street 1:111 POLK STREET
Practice Address - Street 2:
Practice Address - City:MONTROSS
Practice Address - State:VA
Practice Address - Zip Code:22520
Practice Address - Country:US
Practice Address - Phone:804-493-0130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-17
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1274341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance