Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Polaski County Board of Supervisors

Organization Ambulance · NPI 1508856063

Polaski County Board of Supervisors is an Ambulance in Fairlawn, Virginia. Licensed in Virginia. Registered with an NPI since 2005.

Licensed in
VA
In the registry since
2005

Practice location Address checks out

6580 Valley Center Dr Ste 118
Fairlawn, VA 24141-5669
Phone: (540) 633-6743
Fax: (540) 633-6745
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulance (primary) Taxonomy 341600000X · Licence 856 (VA)

Record details

NPI number1508856063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Gentile — Authorized Agent · (860) 257-9201
NPI enumeratedOctober 26, 2005
Last updated in NPPESJanuary 13, 2020
Certification dateJanuary 13, 2020
Mailing addressPo Box 290184, Wethersfield, CT 06129-0184