Provider Demographics
NPI:1144467523
Name:PATRICK COUNTY BOARD OF SUPERVISORS
Entity type:Organization
Organization Name:PATRICK COUNTY BOARD OF SUPERVISORS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EMERGENCY MANAGMENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-694-6094
Mailing Address - Street 1:PO BOX 466
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:VA
Mailing Address - Zip Code:24171-0466
Mailing Address - Country:US
Mailing Address - Phone:276-694-6094
Mailing Address - Fax:
Practice Address - Street 1:106 RUCKER ST
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:VA
Practice Address - Zip Code:24171-1619
Practice Address - Country:US
Practice Address - Phone:276-694-6094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-07
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA12793416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport