Provider Demographics
NPI:1437876877
Name:SURRY COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:SURRY COUNTY BOARD OF SUPERVISORS
Other - Org Name:SURRY COUNTY BOARD OF SUPERVISORS
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF OF EMERGENCY MANAGEMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GENE
Authorized Official - Middle Name:R
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:JR
Authorized Official - Credentials:CHIEF
Authorized Official - Phone:572-945-2057
Mailing Address - Street 1:PO BOX 65
Mailing Address - Street 2:
Mailing Address - City:SURRY
Mailing Address - State:VA
Mailing Address - Zip Code:23883-0065
Mailing Address - Country:US
Mailing Address - Phone:757-294-5205
Mailing Address - Fax:
Practice Address - Street 1:1239 COLONIAL TRL W
Practice Address - Street 2:
Practice Address - City:DENDRON
Practice Address - State:VA
Practice Address - Zip Code:23839-2220
Practice Address - Country:US
Practice Address - Phone:757-647-0994
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-26
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport