Active NPI
City of Martinsville
- Land Ambulance
- Martinsville, VA
National Provider Identifier
1184674129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- CITY OF MARTINSVILLE
- Practice address
- 65 West Church St
Martinsville, VA 24112 - Phone
- (276) 403-5325
- Fax
- (276) 403-5305
- NPI assigned
- May 11, 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
- Mr. Rodney Dan Howell
- Title
- Chief
- Phone
- (276) 403-5201
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
65 West Church St
Martinsville, VA 24112
Mailing address
65 W Church St
Martinsville, VA 24112-6209
Phone (276) 403-5325
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 608147600 | Other | VA | BLACK LUNG |
| 175963 | Other | VA | BCBS |
| 95864 | Other | VA | OPTIMA |
| P00184617 | Other | VA | RAILROAD MEDICARE |
| 010124476 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041201000484 | VA | Part B Supplier - Ambulance Service Supplier | 1052376092 | Practice locations: Martinsville, VA |
National Provider Directory
National Provider Directory- Tax ID family
- City of Martinsville
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Martinsville, VA
- NPI 1780750174
Locations
829 Starling Ave
Martinsville, VA 24112
Phone (276) 403-5326
65 W Church St
Martinsville, VA 24112
Phone (276) 403-5325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733184000000",
"number": "1184674129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 W CHURCH ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "241126209",
"telephone_number": "276-403-5325",
"fax_number": "276-403-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 WEST CHURCH ST",
"city": "MARTINSVILLE",
"state": "VA",
"postal_code": "24112",
"telephone_number": "276-403-5325",
"fax_number": "276-403-5305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF MARTINSVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "HOWELL",
"authorized_official_first_name": "RODNEY",
"authorized_official_middle_name": "DAN",
"authorized_official_title_or_position": "CHIEF",
"authorized_official_telephone_number": "276-403-5201",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLACK LUNG",
"identifier": "608147600",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "175963",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "95864",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00184617",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010124476",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Martinsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 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.