Provider Demographics
NPI:1922392513
Name:PITTSYLVANIA COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:PITTSYLVANIA COUNTY BOARD OF SUPERVISORS
Other - Org Name:PITTSYLVANIA COUNTY EMERGENCY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:GILES VAN DER HYDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-432-7742
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:CHATHAM
Mailing Address - State:VA
Mailing Address - Zip Code:24531-0426
Mailing Address - Country:US
Mailing Address - Phone:434-727-6459
Mailing Address - Fax:724-794-1633
Practice Address - Street 1:1 CENTER STREET
Practice Address - Street 2:
Practice Address - City:CHATHAM
Practice Address - State:VA
Practice Address - Zip Code:24531-3113
Practice Address - Country:US
Practice Address - Phone:434-432-7742
Practice Address - Fax:724-794-1633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-01
Last Update Date:2020-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA544341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00992888OtherRAILROAD MEDICARE
VAP00992888OtherRAILROAD MEDICARE
VA1922392513Medicaid
VAQ37480AMedicare PIN