Provider Demographics
NPI:1376597583
Name:DINWIDDIE COUNTY BOARD OF SUPERVISORS
Entity type:Organization
Organization Name:DINWIDDIE COUNTY BOARD OF SUPERVISORS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:INTERIM CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TITMUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-469-5388
Mailing Address - Street 1:PO BOX 637832
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45263-7832
Mailing Address - Country:US
Mailing Address - Phone:804-469-5388
Mailing Address - Fax:804-469-4040
Practice Address - Street 1:13850 COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:DINWIDDIE
Practice Address - State:VA
Practice Address - Zip Code:23841-0001
Practice Address - Country:US
Practice Address - Phone:804-469-5388
Practice Address - Fax:804-469-4040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA62979OtherOPTIMA
VA100768OtherANTHEM
VA009012303Medicaid
VA=========OtherTRICARE
VA080055800OtherFED BLACK LUNG
VAP00078588OtherRR M/CARE