Organization Active NPI

Bland County Volunteer Rescue Squad, Inc.

  • Land Ambulance
  • Bland, VA
National Provider Identifier
1144323478
Registry record updated May 3, 2024
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
BLAND COUNTY VOLUNTEER RESCUE SQUAD, INC.
Practice address
67 Orchard View Lane
Bland, VA 24315-0585
Phone
(276) 688-4708
NPI assigned
Sep 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
James D Atwell
Title
Lieutenant
Phone
(276) 688-4708

Specialties & licenses 1

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

Addresses

Primary practice location

67 Orchard View Lane
Bland, VA 24315-0585

Mailing address

PO Box 585
Bland, VA 24315-0585
Phone (276) 688-4708

Other identifiers 2

IdentifierTypeStateIssuer
9000069000MedicaidWV
009014462MedicaidVA

Other names 1

  • BLAND COUNTY RESCUE SQUAD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091123000510 VA Part B Supplier - Ambulance Service Supplier 4981743424 Practice locations: Bland, VA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1144323478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 585",
            "city": "BLAND",
            "state": "VA",
            "postal_code": "243150585",
            "telephone_number": "276-688-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 ORCHARD VIEW LANE",
            "city": "BLAND",
            "state": "VA",
            "postal_code": "243150585",
            "telephone_number": "276-688-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAND COUNTY VOLUNTEER RESCUE SQUAD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "ATWELL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "LIEUTENANT",
        "authorized_official_telephone_number": "276-688-4708"
    },
    "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": "9000069000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009014462",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BLAND COUNTY RESCUE SQUAD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.