Provider Demographics
NPI:1922110071
Name:STAFFORD COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:STAFFORD COUNTY BOARD OF SUPERVISORS
Other - Org Name:STAFFORD COUNTY FIRE & RESCUE DEPARTMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARDELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-658-7200
Mailing Address - Street 1:PO BOX 719253
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19171-9253
Mailing Address - Country:US
Mailing Address - Phone:855-626-9660
Mailing Address - Fax:833-953-0588
Practice Address - Street 1:1225 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7108
Practice Address - Country:US
Practice Address - Phone:740-658-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA578341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00411827OtherRAILROAD MEDICARE
VA1922110071Medicaid