Organization Active NPI

Delta Response Team

  • Land Ambulance
  • Appomattox, VA
National Provider Identifier
1003125568
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
DELTA RESPONSE TEAM
Practice address
698 Jones St
Appomattox, VA 24522
Phone
(434) 665-6069
NPI assigned
Oct 1, 2010
Last updated
Oct 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Walton
Title
President/Ceo
Phone
(434) 665-1385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary

Addresses

Primary practice location

698 Jones St
Appomattox, VA 24522

Mailing address

PO Box 2225
Appomattox, VA 24522-2225
Phone (434) 665-6069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101105000471 VA Part B Supplier - Ambulance Service Supplier 9830383611 Practice locations: Lynchburg, VA; Appomattox, VA; Farmville, VA

National Provider Directory

National Provider Directory

Locations

698 Jones St
Appomattox, VA 24522
Phone (434) 665-6069

706 Jones St
Appomattox, VA 24522
Phone (434) 665-6069

2202 W 3rd St
#A
Farmville, VA 23901
Phone (434) 392-4199

2007 Memorial Ave
Lynchburg, VA 24501
Phone (434) 665-6069

2350 Lanier Rd
Rockville, VA 23146
Phone (804) 592-5632

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285891200000",
    "number": "1003125568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2225",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "245222225",
            "telephone_number": "434-665-6069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 JONES ST",
            "city": "APPOMATTOX",
            "state": "VA",
            "postal_code": "24522",
            "telephone_number": "434-665-6069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA RESPONSE TEAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A",
        "authorized_official_last_name": "WALTON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "434-665-1385"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appomattox, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.

Verify at the official NPI Registry.