Provider Demographics
NPI:1396471090
Name:WASHINGTON COUNTY VIRGINIA
Entity type:Organization
Organization Name:WASHINGTON COUNTY VIRGINIA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMERGENCY MANAGEMENT COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:D
Authorized Official - Last Name:KINGSLEY-VARBLE
Authorized Official - Suffix:
Authorized Official - Credentials:CCEMTP
Authorized Official - Phone:276-525-1330
Mailing Address - Street 1:1 GOVERNMENT CENTER WAY STE A
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:VA
Mailing Address - Zip Code:24210-8484
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 GOVERNMENT CENTER WAY STE A
Practice Address - Street 2:
Practice Address - City:ABINGDON
Practice Address - State:VA
Practice Address - Zip Code:24210-8484
Practice Address - Country:US
Practice Address - Phone:276-525-1330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WASHINGTON COUNTY VIRGINIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-07-26
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport