Organization
NORTHWESTERN COMMUNITY SERVICES BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN DEGRAFF HARRISON (CEO)
(540) 434-1941
Entity
Organization
Contact information
Practice address
209 W CRISER RD, FRONT ROYAL, VA 22630-2360
(540) 636-4250
(540) 636-7171
Mailing address
209 W CRISER RD, FRONT ROYAL, VA 22630-2360
(540) 636-4250
(540) 636-7171
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47001042
—
VA
Enumeration date
07/26/2017
Last updated
02/19/2025
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