Healthcare Provider Details

I. General information

NPI: 1972913044
Provider Name (Legal Business Name): KING AND QUEEN COUNTY BOARD OF SUPERVISORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2014
Last Update Date: 11/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 ALLENS CIR
KING AND QUEEN COURT HOUSE VA
23085-2007
US

IV. Provider business mailing address

PO BOX 177
KING AND QUEEN COURT HOUSE VA
23085-0177
US

V. Phone/Fax

Practice location:
  • Phone: 804-785-5000
  • Fax: 804-785-5999
Mailing address:
  • Phone: 804-785-5975
  • Fax: 804-785-5999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. GREG HUNTER
Title or Position: EMERGENCY SERVICES COORDINATOR
Credential:
Phone: 804-785-5975