Organization Active NPI

City of Martinsville

  • Land Ambulance
  • Martinsville, VA
National Provider Identifier
1184674129
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
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

Updated by the provider on Dec 3, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
608147600OtherVABLACK LUNG
175963OtherVABCBS
95864OtherVAOPTIMA
P00184617OtherVARAILROAD MEDICARE
010124476MedicaidVA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041201000484 VA Part B Supplier - Ambulance Service Supplier 1052376092 Practice locations: Martinsville, VA

National Provider Directory

National Provider Directory
Tax ID family
City of Martinsville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.