City of Radford

Primary specialty

AmbulanceTaxonomy code 341600000X

License

1067 Issued in VA

Legal business name

CITY OF RADFORD

Doing business as

Radford Fire-EMS

Practice address

1500 Wadsworth St
Radford, VA 24141-3421

Phone

(540) 731-3617

Fax

(540) 731-3698

NPI assigned

Sep 20, 2006

Last updated

Apr 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodney Haywood

Title

Fire/EMS Chief

Phone

(540) 731-3617

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Radford Fire-EMS Doing business as
• Radford Ambulance Service Former legal business name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713830400000",
    "number": "1154429678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROBERTSON ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241414545",
            "telephone_number": "540-731-3617",
            "fax_number": "540-731-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 WADSWORTH ST",
            "city": "RADFORD",
            "state": "VA",
            "postal_code": "241413421",
            "telephone_number": "540-731-3617",
            "fax_number": "540-731-3698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF RADFORD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A",
        "authorized_official_last_name": "HAYWOOD",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "FIRE/EMS CHIEF",
        "authorized_official_telephone_number": "540-731-3617"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "1067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "060958",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9002723",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009002723",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Radford Fire-EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Radford Ambulance Service",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ambulance in Radford, VA
• Providers in Radford, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.