NPIMap

Organization Active NPI

Bluefield Virginia Rescue Squad, Inc.

  • Land Ambulance
  • Bluefield, VA
National Provider Identifier
1013028158
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
NO NUMBER ON LICENSE Issued in VA
Legal business name
BLUEFIELD VIRGINIA RESCUE SQUAD, INC.
Practice address
217 Virginia Ave
Bluefield, VA 24605-1919
Phone
(276) 326-3763
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tommy Carroll
Title
Administrator Captain
Phone
(276) 326-3763

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NO NUMBER ON LICENSE VA Primary

Addresses

Primary practice location

217 Virginia Ave
Bluefield, VA 24605-1919

Mailing address

PO Box 999
Oceana, WV 24870-0999

Other identifiers 1

IdentifierTypeStateIssuer
9000013000MedicaidWV

Other names 1

  • Bluefield VA Rescue Squad Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013028158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 999",
            "city": "OCEANA",
            "state": "WV",
            "postal_code": "248700999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 VIRGINIA AVE",
            "city": "BLUEFIELD",
            "state": "VA",
            "postal_code": "246051919",
            "telephone_number": "276-326-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEFIELD VIRGINIA RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR CAPTAIN",
        "authorized_official_telephone_number": "276-326-3763"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "NO NUMBER ON LICENSE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000013000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluefield VA Rescue Squad",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bluefield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.