Active NPI
Caroline County Board of Supervisors
- Ambulance
- Bowling Green, VA
National Provider Identifier
1164648317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- CAROLINE COUNTY BOARD OF SUPERVISORS
- Practice address
- 17202 Richmond Turnpike
Bowling Green, VA 22427 - Phone
- (804) 633-9831
- Fax
- (804) 633-9832
- NPI assigned
- Apr 17, 2007
- 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
- Edward Fuzy
- Title
- Director
- Phone
- (804) 633-9831
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
17202 Richmond Turnpike
Bowling Green, VA 22427
Mailing address
PO Box 447
Bowling Green, VA 22427-0447
Phone (804) 633-9831
Other names 1
- Department of Fire-Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070926000751 | VA | Part B Supplier - Ambulance Service Supplier | 5193810810 | Practice locations: Bowling Green, VA; Woodford, VA; Ruther Glen, VA; Port Royal, VA; Hanover, VA |
National Provider Directory
National Provider DirectoryLocations
233 W Broaddus Ave
Bowling Green, VA 22427
Phone (804) 633-9831
30240 Richmond Tpke
Hanover, VA 23069
Phone (804) 994-2700
435 King St
Port Royal, VA 22535
Phone (804) 742-5505
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187654400000",
"number": "1164648317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 447",
"city": "BOWLING GREEN",
"state": "VA",
"postal_code": "224270447",
"telephone_number": "804-633-9831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17202 RICHMOND TURNPIKE",
"city": "BOWLING GREEN",
"state": "VA",
"postal_code": "22427",
"telephone_number": "804-633-9831",
"fax_number": "804-633-9832"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROLINE COUNTY BOARD OF SUPERVISORS",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-17",
"last_updated": "2007-08-21",
"status": "A",
"authorized_official_last_name": "FUZY",
"authorized_official_first_name": "EDWARD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "804-633-9831"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Department of Fire-Rescue",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bowling Green, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2007; 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.