Provider Demographics
NPI:1831144831
Name:ACCOMACK CO. DEPT. OF PUBLIC SAFETY
Entity Type:Organization
Organization Name:ACCOMACK CO. DEPT. OF PUBLIC SAFETY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUBLIC SAFETY
Authorized Official - Prefix:
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:LOFTUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-787-5737
Mailing Address - Street 1:PO BOX 629
Mailing Address - Street 2:
Mailing Address - City:ACCOMAC
Mailing Address - State:VA
Mailing Address - Zip Code:23301-0629
Mailing Address - Country:US
Mailing Address - Phone:757-789-3610
Mailing Address - Fax:
Practice Address - Street 1:23337 CROSS ST
Practice Address - Street 2:C/O TREASURER OF ACCOMACK
Practice Address - City:ACCOMAC
Practice Address - State:VA
Practice Address - Zip Code:23301-1746
Practice Address - Country:US
Practice Address - Phone:757-789-3610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
33050OtherOPTIMA
441753OtherBCBS
=========OtherTRI