Organization Active NPI

Patient Transport Systems, Inc

  • Land Ambulance
  • Halifax, VA
National Provider Identifier
1114950854
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
509 Issued in VA
Legal business name
PATIENT TRANSPORT SYSTEMS, INC
Practice address
11 N Main St
Halifax, VA 24558-3211
Phone
(434) 476-1504
Fax
(434) 476-4962
NPI assigned
Jul 8, 2006
Last updated
Sep 8, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

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

Authorized official

Name
Mr. Richard T Burkholder
Title
Director
Phone
(434) 476-1501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 509 VA Primary

Addresses

Primary practice location

11 N Main St
Halifax, VA 24558-3211

Mailing address

PO Box 698
Halifax, VA 24558-0698
Phone (434) 476-1501

Other identifiers 2

IdentifierTypeStateIssuer
009002448MedicaidVA
590003877OtherVARR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126000999 VA Part B Supplier - Ambulance Service Supplier 2062462179 Practice locations: Halifax, VA

National Provider Directory

National Provider Directory

Locations

11 N Main St
Halifax, VA 24558
Phone (434) 476-1501

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1114950854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 698",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245580698",
            "telephone_number": "434-476-1501",
            "fax_number": "434-476-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 N MAIN ST",
            "city": "HALIFAX",
            "state": "VA",
            "postal_code": "245583211",
            "telephone_number": "434-476-1504",
            "fax_number": "434-476-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENT TRANSPORT SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "BURKHOLDER",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-476-1501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009002448",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "590003877",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Halifax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.