Organization
COUNTY OF CHESTERFIELD VIRGINIA
Active
Other names
Chesterfield Community Services Board
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBORAH BURCHAM (EXECUTIVE DIRECTOR)
(804) 768-7220
Entity
Organization
Contact information
Practice address
6801 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1227
(804) 717-6659
Mailing address
6801 LUCY CORR CT, CHESTERFIELD, VA 23832-6657
(804) 748-1227
(804) 717-6659
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336293000
—
VA
01
—
C00801
MEDICARE GROUP PTAN
VA
Enumeration date
04/27/2016
Last updated
04/29/2016
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