POLASKI COUNTY BOARD OF SUPERVISORS; NPI #1508856063

Contact Information

POLASKI COUNTY BOARD OF SUPERVISORS

6580 VALLEY CENTER DR
STE 118
FAIRLAWN, VA 24141-5669

Phone: 540-633-6743
Fax: 540-633-6745
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for POLASKI COUNTY BOARD OF SUPERVISORS

NPI Number 1508856063

LBN Legal business name POLASKI COUNTY BOARD OF SUPERVISORS

Authorized official MARY GENTILE - (AUTHORIZED AGENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/26/2005

Last updated 01/13/2020 - About 6 years ago

Identifiers

VA	License #	856
VA	Medicaid	009011293
	Other	590009886	RAILROAD MEDICARE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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