Active NPI
Richmond County Board of Supervisors
- Ambulance
- Warsaw, VA
National Provider Identifier
1003053158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 1284
- Legal business name
- RICHMOND COUNTY BOARD OF SUPERVISORS
- Practice address
- 101 Court Circle
Warsaw, VA 22572 - Phone
- (804) 333-5089
- NPI assigned
- Jan 12, 2009
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- William E. Duncanson
- Title
- County Administrator
- Phone
- (804) 333-3415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090429000437 | VA | Part B Supplier - Ambulance Service Supplier | 4587712690 | Practice locations: Warsaw, VA |
National Provider Directory
National Provider DirectoryLocations
6674 Richmond Rd
Warsaw, VA 22572
Phone (804) 333-5089
152 Community Park Dr
Warsaw, VA 22572
Phone (804) 333-5089
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 1284 | VA | Primary |
| Land Ambulance | 3416L0300X | 1284 | VA |
Addresses
NPPES NPI RegistryPrimary practice location
101 Court Circle
Warsaw, VA 22572
Mailing address
PO Box 636635
Cincinnati, OH 45263-0001
Phone (937) 424-3701
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003053158 | Medicaid | VA | |
| P00707651 | Other | VA | RAILROAD MEDICARE |
| 1003053158 | Other | VA | ANTHEM |
Other names 1
NPPES NPI Registry- Richmond County Division of Emergency Medical Services
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 10, 2011.
{
"created_epoch": "1231718400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1304985600000",
"number": "1003053158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 636635",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452630001",
"telephone_number": "937-424-3701",
"fax_number": "937-291-2971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 COURT CIRCLE",
"city": "WARSAW",
"state": "VA",
"postal_code": "22572",
"telephone_number": "804-333-5089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND COUNTY BOARD OF SUPERVISORS",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-12",
"last_updated": "2011-05-10",
"status": "A",
"authorized_official_last_name": "DUNCANSON",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "COUNTY ADMINISTRATOR",
"authorized_official_telephone_number": "804-333-3415"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VA",
"license": "1284",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VA",
"license": "1284",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003053158",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00707651",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "1003053158",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Richmond County Division of Emergency Medical Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warsaw, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.