Organization
BOTETOURT COUNTY BOARD OF SUPERVISORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FIRESTONE (EMERGENCY SERVICES SPECIALIST)
(540) 473-8401
Entity
Organization
Contact information
Practice address
205 N ROANOKE ST, SUITE 1, FINCASTLE, VA 24090-3018
(540) 473-8401
Mailing address
4750 HEMPSTEAD STATION DR, KETTERING, OH 45429-5164
(800) 875-0136
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1128
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010234107
—
VA
01
—
181780
ANTHEM
VA
Enumeration date
08/17/2006
Last updated
05/25/2010
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