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Organization

ROANOKE COUNTY BOARD OF SUPERVISORS

Active
Other names
Roanoke County Fire & Rescue
Organization subpart
No

Provider details

NPI number
Authorized official
MR. STEPHEN GEORGE SIMON (DIVISION CHIEF)
(540) 777-8701
Entity
Organization

Contact information

Practice address
ROANOKE COUNTY PUBLIC SAFETY CENTER, 5925 COVE ROAD, ROANOKE, VA 24019
(540) 777-8701
Mailing address
PO BOX 20862, ROANOKE, VA 24018-0087

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
442
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009011404
VA
01
590014822
RAILROAD MEDICARE
Enumeration date
06/21/2005
Last updated
04/07/2017
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