Provider Demographics
NPI:1831143049
Name:FLOYD COUNTY EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:FLOYD COUNTY EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY ADMINISTRATOR FLOYD COUNTY
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-745-9300
Mailing Address - Street 1:PO BOX 218
Mailing Address - Street 2:
Mailing Address - City:FLOYD
Mailing Address - State:VA
Mailing Address - Zip Code:24091-0218
Mailing Address - Country:US
Mailing Address - Phone:540-745-9300
Mailing Address - Fax:540-745-9305
Practice Address - Street 1:120 W OXFORD ST
Practice Address - Street 2:
Practice Address - City:FLOYD
Practice Address - State:VA
Practice Address - Zip Code:24091-2222
Practice Address - Country:US
Practice Address - Phone:540-745-9300
Practice Address - Fax:540-745-9305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2010-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1219341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010164141Medicaid
VA180034OtherBCBS
VAP00224128OtherRAILROAD MEDICARE
VA180034OtherBCBS
VA180034OtherBCBS