Provider Demographics
NPI:1952798043
Name:NORTHUMBERLAND COUNTY BOARD OF SUPERVISORS
Entity Type:Organization
Organization Name:NORTHUMBERLAND COUNTY BOARD OF SUPERVISORS
Other - Org Name:NORTHUMBERLAND COUNTY DEPT. OF EMERGENCY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:BAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-333-4593
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:VA
Mailing Address - Zip Code:22572-0070
Mailing Address - Country:US
Mailing Address - Phone:804-333-4593
Mailing Address - Fax:804-333-4614
Practice Address - Street 1:72 MONUMENT PL
Practice Address - Street 2:
Practice Address - City:HEATHSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22473-3336
Practice Address - Country:US
Practice Address - Phone:804-333-4593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-16
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1346341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance