Organization
HANOVER COUNTY BOARD OF SUPERVISORS
Active
Other names
Hanover Fire EMS
Organization subpart
No
Provider details
NPI number
Authorized official
JETHRO H PILAND III (CHIEF)
(804) 365-6195
Entity
Organization
Contact information
Practice address
13326 HANOVER COURTHOUSE ROAD, HANOVER, VA 23069
(804) 365-6195
(804) 537-5458
Mailing address
PO BOX 715445, PHILADELPHIA, PA 19171-5445
(804) 365-6195
(804) 537-5458
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
779
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000178983
ANTHEM
VA
05
—
010127530
—
VA
01
—
P00203980
RAILROAD MEDICARE
VA
Enumeration date
06/19/2006
Last updated
10/13/2021
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