Organization Active NPI

Caroline County Board of Supervisors

  • Ambulance
  • Bowling Green, VA
National Provider Identifier
1164648317
Registry record updated Aug 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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

Updated by the provider on Aug 21, 2007

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)CodeLicenseStatePrimary
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 Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

Verify at the official NPI Registry.