Provider Demographics
NPI:1679666101
Name:BLUE RIDGE PHONES AND SECURITY
Entity Type:Organization
Organization Name:BLUE RIDGE PHONES AND SECURITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HAISLOP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-943-1868
Mailing Address - Street 1:1744 JEFFERSON HIGHWAY
Mailing Address - Street 2:P.O. BOX 403
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939
Mailing Address - Country:US
Mailing Address - Phone:540-943-1868
Mailing Address - Fax:540-943-1869
Practice Address - Street 1:1744 JEFFERSON HIGHWAY
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939
Practice Address - Country:US
Practice Address - Phone:540-943-1868
Practice Address - Fax:540-943-1869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2701 034892A171WH0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty