OrganizationActive
Polaski County Board of Supervisors
NPI 1508856063 · Ambulance · Fairlawn, VA
Provider details
- NPI number
- 1508856063
- Entity type
- Organization
- Primary specialty
- AmbulanceTransportation Services
- Organization subpart
- No
- Authorized official
- Mary Gentile, Authorized Agent(860) 257-9201
- License
- 856 (VA)
Specialties & taxonomies
Transportation Services
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6580 Valley Center Dr
Ste 118
Fairlawn, VA 24141-5669
Phone: (540) 633-6743
Fax: (540) 633-6745
Street-level locationGet directions
Mailing address
Po Box 290184
Wethersfield, CT 06129-0184
Registry dates
- Enumerated
- 2005-10-26
- Last updated
- 2020-01-13
- Certified
- 2020-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.