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Organization

COUNTY OF ORANGE VIRGINIA

Active
Other names
County of Orange Fire & EMS
Organization subpart
No

Provider details

NPI number
Authorized official
KENNETH M THROCKMORTON (ASSISTANT CHIEF OF ADMINISTRATION)
(540) 672-7044
Entity
Organization

Contact information

Practice address
11282 GOVERNMENT CENTER DRIVE, ORANGE, VA 22960-4450
(540) 672-7044
Mailing address
PO BOX 719424, PHILADELPHIA, PA 19171-9424
(855) 626-9660
(833) 953-0588

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
954
VA
341600000X
Ambulance
Primary
964
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010275211
VA
01
190001381
MEDICARE PTAN
VA
01
P00316108
RAILROAD MEDICARE
VA
Enumeration date
03/31/2006
Last updated
07/23/2024
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