Healthcare Provider Details

I. General information

NPI: 1376597583
Provider Name (Legal Business Name): DINWIDDIE COUNTY BOARD OF SUPERVISORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2006
Last Update Date: 06/21/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13850 COURTHOUSE RD
DINWIDDIE VA
23841-0001
US

IV. Provider business mailing address

PO BOX 637832
CINCINNATI OH
45263-7832
US

V. Phone/Fax

Practice location:
  • Phone: 804-469-5388
  • Fax: 804-469-4040
Mailing address:
  • Phone: 804-469-5388
  • Fax: 804-469-4040

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: DAWN M TITMUS
Title or Position: INTERIM CHIEF
Credential:
Phone: 804-469-5388