1255342648 NPI number — ARLINGTON COUNTY GOVERNMENT DEPARTMENT OF MANAGMENT & FINANCE

Table of content: (NPI 1255342648)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255342648 NPI number — ARLINGTON COUNTY GOVERNMENT DEPARTMENT OF MANAGMENT & FINANCE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARLINGTON COUNTY GOVERNMENT DEPARTMENT OF MANAGMENT & FINANCE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
ARLINGTON COUNTY GOVERNMENT
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255342648
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/17/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 34772
Provider Second Line Business Mailing Address:
400
Provider Business Mailing Address City Name:
ALEXANDRIA
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22334-0772
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-228-3361
Provider Business Mailing Address Fax Number:
703-228-7097

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2100 CLARENDON BLVD
Provider Second Line Business Practice Location Address:
400
Provider Business Practice Location Address City Name:
ARLINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22201-5447
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-228-3361
Provider Business Practice Location Address Fax Number:
703-228-7097
Provider Enumeration Date:
08/10/2006

Additional Information

Authorized Official

Authorized Official Last Name:
RESHETAR
Authorized Official First Name:
JOSEPH
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT FIRE CHIEF
Authorized Official Telephone Number:
703-228-0083

Provider Taxonomy Codes

  • Taxonomy code: 341600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 150958600 . This is a "US DEPT OF LABOR" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 271930 . This is a "BCBS" identifier , issued by the state of ( VA ) . This identifiers is of the category "OTHER".
  • Identifier: 009001417 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".




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