Healthcare Provider Details

I. General information

NPI: 1912619081
Provider Name (Legal Business Name): SMYTH COUNTY BOARD OF SUPERVISORS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2022
Last Update Date: 12/20/2022
Certification Date: 12/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 BAGLEY CIR STE 100
MARION VA
24354-3140
US

IV. Provider business mailing address

PO BOX 9150
PADUCAH KY
42002-9150
US

V. Phone/Fax

Practice location:
  • Phone: 276-706-8310
  • Fax: 270-744-8642
Mailing address:
  • Phone: 270-744-8413
  • Fax: 270-744-8642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MR. CURTIS WILLIAM CRAWFORD
Title or Position: EMERGENCY SERVICES COORDINATOR
Credential:
Phone: 276-706-8310