Provider Demographics
NPI:1851345045
Name:LANCASTER COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:LANCASTER COUNTY BOARD OF SUPERVISORS
Other - Org Name:LANCASTER COUNTY EMERGENCY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNTY ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:PENNELL
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:804-462-5129
Mailing Address - Street 1:1105 SCHROCK RD STE 610
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-1158
Mailing Address - Country:US
Mailing Address - Phone:888-445-0473
Mailing Address - Fax:
Practice Address - Street 1:8311 MARY BALL RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:VA
Practice Address - Zip Code:22503
Practice Address - Country:US
Practice Address - Phone:804-462-6010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1192341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00184624OtherRAILROAD
VA010125875Medicaid
VA176033OtherANTHEM BCBS
VA010125875Medicaid