Active NPI
City of Fairfax
- Ambulance
- Fairfax, VA
National Provider Identifier
1194911099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 72
- Legal business name
- CITY OF FAIRFAX
- Practice address
- 4081 University Dr Ste 400
Fairfax, VA 22030-3407 - Phone
- (703) 385-7940
- Fax
- (703) 273-9257
- NPI assigned
- Sep 25, 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
- John O'Neal
- Title
- Fire Chief
- Phone
- (937) 291-2892
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 72 | VA | Primary |
Addresses
Primary practice location
4081 University Dr Ste 400
Fairfax, VA 22030-3407
Mailing address
PO Box 5211
Dept # 116256
Binghamton, NY 13902-5211
Phone (703) 385-7940
Other names 1
- City of Fairfax Fire Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080324000502 | DC | Part B Supplier - Ambulance Service Supplier | 0042396657 | Practice locations: Fairfax, VA |
National Provider Directory
National Provider Directory- Tax ID family
- City of Fairfax
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Falls Church, VA
- NPI 1487769709
Locations
4081 University Dr
Ste 400
Fairfax, VA 22030
Phone (703) 385-7940
10101 Fairfax Blvd
Fairfax, VA 22030
Phone (703) 385-7941
4081 University Dr
Fairfax, VA 22030
Phone (703) 385-7940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190678400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628121600000",
"number": "1194911099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5211",
"address_2": "DEPT # 116256",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "139025211",
"telephone_number": "703-385-7940",
"fax_number": "703-273-9257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4081 UNIVERSITY DR STE 400",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220303407",
"telephone_number": "703-385-7940",
"fax_number": "703-273-9257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITY OF FAIRFAX",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-25",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A",
"authorized_official_last_name": "O'NEAL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "FIRE CHIEF",
"authorized_official_telephone_number": "937-291-2892"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VA",
"license": "72",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "City of Fairfax Fire Department",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2021; 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.