Provider Demographics
NPI:1659385938
Name:CITY OF CHESAPEAKE
Entity Type:Organization
Organization Name:CITY OF CHESAPEAKE
Other - Org Name:CITY OF CHESAPEAKE EMERGENCY MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNT PAYABLE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALVERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-382-6709
Mailing Address - Street 1:PO BOX 16436
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23328-6436
Mailing Address - Country:US
Mailing Address - Phone:757-382-6709
Mailing Address - Fax:
Practice Address - Street 1:304 ALBEMARLE DR
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23322-5502
Practice Address - Country:US
Practice Address - Phone:757-382-6297
Practice Address - Fax:757-382-8288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00449341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009002685Medicaid