Provider Demographics
NPI:1588005086
Name:CITY OF COVINGTON
Entity Type:Organization
Organization Name:CITY OF COVINGTON
Other - Org Name:COVINGTON RESCUE SQUAD
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CITY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-965-6300
Mailing Address - Street 1:333 W. LOCUST STREET
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:24426
Mailing Address - Country:US
Mailing Address - Phone:540-965-6333
Mailing Address - Fax:540-965-6334
Practice Address - Street 1:435 W. HAWTHORNE STREET
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:VA
Practice Address - Zip Code:24426
Practice Address - Country:US
Practice Address - Phone:540-965-6392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2018-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA4083416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport