Provider Demographics
NPI:1528022571
Name:CITY OF PORTSMOUTH
Entity Type:Organization
Organization Name:CITY OF PORTSMOUTH
Other - Org Name:PORTSMOUTH FIRE RESCUE & EMERGENCY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:NEWELL
Authorized Official - Middle Name:E
Authorized Official - Last Name:WHITEHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-393-8765
Mailing Address - Street 1:PO BOX 8488
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23450-8488
Mailing Address - Country:US
Mailing Address - Phone:757-557-0833
Mailing Address - Fax:757-557-0943
Practice Address - Street 1:309 COUNTY STREET
Practice Address - Street 2:SUITE 100
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-3701
Practice Address - Country:US
Practice Address - Phone:757-393-8122
Practice Address - Fax:757-391-3272
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Multi-Specialty
Not Answered146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Multi-Specialty
Not Answered146N00000XEmergency Medical Service ProvidersEmergency Medical Technician, BasicGroup - Multi-Specialty
Not Answered341600000XTransportation ServicesAmbulanceGroup - Multi-Specialty
Not Answered3416L0300XTransportation ServicesAmbulanceLand TransportGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA250521OtherANTHEM
VA27217OtherSENTARA
VA250521OtherANTHEM
VA27217OtherSENTARA