Healthcare Provider Details

I. General information

NPI: 1619099868
Provider Name (Legal Business Name): RAPPAHANNOCK RAPIDAN CSB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 LAUREL ST
CULPEPER VA
22701-3910
US

IV. Provider business mailing address

PO BOX 1568
CULPEPER VA
22701-6568
US

V. Phone/Fax

Practice location:
  • Phone: 540-825-3100
  • Fax: 540-825-6245
Mailing address:
  • Phone: 540-825-3100
  • Fax: 540-825-6245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number9062785
License Number StateVA

VIII. Authorized Official

Name: BRIAN D DUNCAN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 540-825-3100