Provider Demographics
NPI:1417340746
Name:BRUNSWICK COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:BRUNSWICK COUNTY BOARD OF SUPERVISORS
Other - Org Name:BRUNSWICK EMERGENCY MEDICAL SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:EMS SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MEREDITH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAPIENZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:344-848-3020
Mailing Address - Street 1:PO BOX 399
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23868-0399
Mailing Address - Country:US
Mailing Address - Phone:434-848-3107
Mailing Address - Fax:434-848-0424
Practice Address - Street 1:1458 LAWRENCEVILLE PLANK ROAD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23868
Practice Address - Country:US
Practice Address - Phone:434-848-3020
Practice Address - Fax:434-848-4753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-11
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport