Provider Demographics
NPI:1588353569
Name:COUNTY OF LOUDOUN, VIRGINIA
Entity type:Organization
Organization Name:COUNTY OF LOUDOUN, VIRGINIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNTY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HEMSTREET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-777-0200
Mailing Address - Street 1:PO BOX 7000
Mailing Address - Street 2:MSC 68
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20177-7000
Mailing Address - Country:US
Mailing Address - Phone:703-771-5355
Mailing Address - Fax:703-771-5550
Practice Address - Street 1:102 HERITAGE WAY NE STE 100
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:VA
Practice Address - Zip Code:20176-4544
Practice Address - Country:US
Practice Address - Phone:703-777-0236
Practice Address - Fax:703-771-5393
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COUNTY OF LOUDOUN, VIRGINIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local