Organization Active NPI

Southland Health Services

  • Land Ambulance
  • Charlottesville, VA
National Provider Identifier
1144288978
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1194 Issued in VA
Legal business name
SOUTHLAND HEALTH SERVICES
Practice address
2030 Avon CT
Charlottesville, VA 22902-8735
Phone
(434) 975-8253
NPI assigned
May 2, 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
Larry Lunan
Title
Ceo
Phone
(205) 695-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1194 VA Primary

Addresses

Primary practice location

2030 Avon CT
Charlottesville, VA 22902-8735

Mailing address

PO Box 1497
Vernon, AL 35592-1497
Phone (205) 695-9800

Other identifiers 1

IdentifierTypeStateIssuer
4079766MedicaidTN

National Provider Directory

National Provider Directory

Locations

2030 Avon Ct
Charlottesville, VA 22902
Phone (434) 975-8253

169 Fraley Ave
Duffield, VA 24244
Phone (423) 239-7080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144288978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1497",
            "city": "VERNON",
            "state": "AL",
            "postal_code": "355921497",
            "telephone_number": "205-695-9800",
            "fax_number": "205-695-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 AVON CT",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229028735",
            "telephone_number": "434-975-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHLAND HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LUNAN",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "205-695-9800"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "1194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4079766",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, 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.