Organization
CITY OF LEXINGTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. T JON ELLESTAD (CITY MANAGER)
(540) 463-5433
Entity
Organization
Contact information
Practice address
306 SPOTSWOOD DRIVE, LEXINGTON, VA 24450
(540) 853-0699
(540) 344-5674
Mailing address
PO BOX 12533, ROANOKE, VA 24026-2533
(540) 981-8612
(540) 344-5674
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
188592
ANTHEM BCBS
VA
Enumeration date
09/22/2006
Last updated
11/06/2007
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