=====================================================
General NPI Number Information
=====================================================
NPI Number | 1528133428
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NELSON COUNTY BOARD OF SUPERVISORS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/24/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 84 COURTHOUSE SQUARE
-----------------------------------------------------
City | LOVINGSTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22949-0336
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 434-263-7000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 336
-----------------------------------------------------
City | LOVINGSTON
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22949-0336
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 434-263-7000
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | COUNTY ADMINISTRATOR
-----------------------------------------------------
Name | STEPHEN A CARTER
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 434-263-7000
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------