Organization Active NPI

City of Norfolk

  • Ambulance
  • Norfolk, VA
National Provider Identifier
1114977816
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
319 Issued in VA
Legal business name
CITY OF NORFOLK
Practice address
100 Brooke Ave Ste 500
Norfolk, VA 23510-1836
Phone
(888) 820-1534
Fax
(888) 972-9641
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Christine Garczynski
Title
Director of Finance
Phone
(757) 664-4050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 319 VA Primary

Addresses

Primary practice location

100 Brooke Ave Ste 500
Norfolk, VA 23510-1836

Mailing address

PO Box 791062
Baltimore, MD 21279-1062
Phone (888) 820-1534

Other identifiers 5

IdentifierTypeStateIssuer
590011551OtherVARR CARE
009001123MedicaidVA
080055000OtherVAFED BLACK LUNG
17660OtherVAOPTIMA
017370OtherVAANTHEM

Other names 1

  • Norfolk Fire Rescue Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041104001223 VA Part B Supplier - Ambulance Service Supplier 8325001951 Practice locations: Norfolk, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Norfolk Fore Paramedi3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114977816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791062",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791062",
            "telephone_number": "888-820-1534",
            "fax_number": "888-972-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BROOKE AVE STE 500",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101836",
            "telephone_number": "888-820-1534",
            "fax_number": "888-972-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NORFOLK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GARCZYNSKI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "757-664-4050"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR CARE",
            "identifier": "590011551",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009001123",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED BLACK LUNG",
            "identifier": "080055000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "17660",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "017370",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norfolk Fire Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.