Organization
PIEDMONT REGIONAL COMMUNITY SERVICES BOARD
Active
Organization
PIEDMONT REGIONAL COMMUNITY SERVICES BOARD
Active
Other names
Piedmont CSB Transportation
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M TOBIN (EXECUTIVE DIRECTOR)
(276) 632-2108
Entity
Organization
Contact information
Practice address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(276) 632-7128
(276) 632-0127
Mailing address
24 CLAY ST, MARTINSVILLE, VA 24112-2810
(276) 632-7128
(276) 632-0127
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
038
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945221
—
VA
01
—
C04131
MEDICARE GROUP #
VA
Enumeration date
12/09/2013
Last updated
12/09/2013
Update your record
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