Organization
CAMPBELL COUNTY BOARD OF SUPERVISORS
Active
Other names
Campbell County Public Safety
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY M FAIRCHILD (DIRECTOR)
(434) 332-9539
Entity
Organization
Contact information
Practice address
34 COMMUNICATIONS LANE, RUSTBURG, VA 24588
(434) 592-9539
(434) 332-9666
Mailing address
PO BOX 661046, DALLAS, TX 75266-1046
(434) 332-9539
(434) 332-2957
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1136
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010348455
—
VA
01
—
248041
ANTHEM
VA
01
—
P00378131
RAILROAD MEDICARE
VA
Enumeration date
08/17/2006
Last updated
06/14/2023
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