Organization
COUNTY OF HENRY BOARD OF SUPERVISORS
Active
Other names
Henry County Department of Public Safety
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATT TATUM (EMS COORDINATOR)
(276) 634-4660
Entity
Organization
Contact information
Practice address
1024 DUPONT RD, MARTINSVILLE, VA 24112-4600
(276) 634-4660
Mailing address
1024 DUPONT RD, MARTINSVILLE, VA 24112-4600
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
00647
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00647
VIRGINIA OEMS AGENCY
VA
Enumeration date
02/10/2010
Last updated
03/15/2010
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