Provider Demographics
NPI:1861744013
Name:ALLEGHANY COUNTY
Entity type:Organization
Organization Name:ALLEGHANY COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:COUNTY MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:J.
Authorized Official - Middle Name:DON
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-372-4179
Mailing Address - Street 1:PO BOX 1882
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NC
Mailing Address - Zip Code:28675-1882
Mailing Address - Country:US
Mailing Address - Phone:336-372-8747
Mailing Address - Fax:336-372-9166
Practice Address - Street 1:90 S MAIN ST
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NC
Practice Address - Zip Code:28675-9643
Practice Address - Country:US
Practice Address - Phone:336-372-8747
Practice Address - Fax:336-372-9166
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLEGHANY COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)