Provider Demographics
NPI:1568038271
Name:TOWN OF SALTVILLE
Entity type:Organization
Organization Name:TOWN OF SALTVILLE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICAL
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIP
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:BREWSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:276-496-4531
Mailing Address - Street 1:PO BOX D
Mailing Address - Street 2:
Mailing Address - City:SALTVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24370-1118
Mailing Address - Country:US
Mailing Address - Phone:276-496-4531
Mailing Address - Fax:276-496-5651
Practice Address - Street 1:126 BATTLEGROUND AVE
Practice Address - Street 2:
Practice Address - City:SALTVILLE
Practice Address - State:VA
Practice Address - Zip Code:24370-3387
Practice Address - Country:US
Practice Address - Phone:276-496-4531
Practice Address - Fax:276-496-5651
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport