Provider Demographics
NPI:1720358062
Name:SHENANDOAH COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:SHENANDOAH COUNTY BOARD OF SUPERVISORS
Other - Org Name:SHENANDOAH COUNTY FIRE & RESCUE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE & RESCUE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:M
Authorized Official - Last Name:YEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-459-6167
Mailing Address - Street 1:600 N MAIN ST
Mailing Address - Street 2:STE 109
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664-1856
Mailing Address - Country:US
Mailing Address - Phone:540-459-6167
Mailing Address - Fax:
Practice Address - Street 1:600 N MAIN ST
Practice Address - Street 2:STE 109
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1856
Practice Address - Country:US
Practice Address - Phone:540-459-6167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-04
Last Update Date:2012-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA11623416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport