Dickenson County Ambulance Service Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

18 Issued in VA

Legal business name

DICKENSON COUNTY AMBULANCE SERVICE INC

Practice address

142 Main St
Clintwood, VA 24228

Phone

(276) 926-8896

Fax

(276) 926-6915

NPI assigned

Mar 17, 2006

Last updated

Sep 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Dienne McNutt

Title

President

Phone

(276) 644-4987

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600732800000",
    "number": "1053380212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1441",
            "address_2": "142 MAIN ST",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "24228",
            "telephone_number": "276-926-8896",
            "fax_number": "276-926-6915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 MAIN ST",
            "city": "CLINTWOOD",
            "state": "VA",
            "postal_code": "24228",
            "telephone_number": "276-926-8896",
            "fax_number": "276-926-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKENSON COUNTY AMBULANCE SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-17",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A",
        "authorized_official_last_name": "MCNUTT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DIENNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-644-4987"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "18",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "086827500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5524457",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009002081",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dickenson Community Hospital, Inc.
• Dickenson Community Hospital, Inc.
• Dickenson Community Hospital, Inc. (Dickenson Swing Bed Unit)
• Dickenson Community Hospital, Inc. (Dma Behavioral Health Green Oak)
• Dickenson Community Hospital, Inc. (Bhrhc Dickenson)
• Dickenson County Behavioral Health Services
• Dickenson County Home Health & Hospice Inc
• Dickenson County Home Health & Hospice, Inc
• Dickenson County Home Health and Hospice, Inc
• Dickenson County Home Medical Rentals, Inc

• Land Ambulance in Clintwood, VA
• Providers in Clintwood, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.