Provider Demographics
NPI:1730886326
Name:COUNTY OF JEFFERSON
Entity type:Organization
Organization Name:COUNTY OF JEFFERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPUTY COUNTY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:REZMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-728-5613
Mailing Address - Street 1:PO BOX 208
Mailing Address - Street 2:
Mailing Address - City:CHARLES TOWN
Mailing Address - State:WV
Mailing Address - Zip Code:25414-0208
Mailing Address - Country:US
Mailing Address - Phone:304-728-5613
Mailing Address - Fax:
Practice Address - Street 1:124 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:CHARLES TOWN
Practice Address - State:WV
Practice Address - Zip Code:25414-1072
Practice Address - Country:US
Practice Address - Phone:304-728-5613
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport