Active NPI
Bland County Volunteer Rescue Squad, Inc.
- Land Ambulance
- Bland, VA
National Provider Identifier
1144323478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- NO NUMBER ON LICENSE
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9000069000 | Medicaid | WV | |
| 009014462 | Medicaid | VA |
Other names 1
- BLAND COUNTY RESCUE SQUAD
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091123000510 | VA | Part B Supplier - Ambulance Service Supplier | 4981743424 | Practice locations: Bland, VA |
National Provider Directory
National Provider DirectoryNPI 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.