Active NPI
Abingdon Convalescent Ambulance Service Incorporated
Doing business as Abingdon Ambulance Service
- Ambulance
- Abingdon, VA
National Provider Identifier
1205819646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 438
- Legal business name
- ABINGDON CONVALESCENT AMBULANCE SERVICE INCORPORATED
- Doing business as
- Abingdon Ambulance Service
- Practice address
- 618 Campus Dr
Abingdon, VA 24210-9699 - Phone
- (276) 628-8470
- Fax
- (276) 623-4293
- NPI assigned
- Nov 21, 2005
- Last updated
- Dec 17, 2025
- 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
- Allen Parris
- Title
- VP of Operations
- Phone
- (276) 628-8470
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 438 | VA | Primary |
| Land Ambulance | 3416L0300X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | 17089 | VA | |
| Taxi | 344600000X | 17089 | VA |
Addresses
Primary practice location
618 Campus Dr
Abingdon, VA 24210-9699
Mailing address
26165 Lee Hwy
Abingdon, VA 24211-7502
Phone (276) 623-8296
Other practice location 1
26165 Lee Hwy
Abingdon, VA 24211-7502
Phone (276) 623-8296
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009001590 | Medicaid | VA | |
| 590936829 | Other | VA | RAILROAD MEDICARE |
Other names 1
- ABINGDON AMBULANCE SERVICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050422001063 | VA | Part B Supplier - Ambulance Service Supplier | 8820036486 | Practice locations: Abingdon, VA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 49D2205179 | Abingdon Convalescent Ambulance Service Inc | Certificate of waiver | Dec 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
220 Valley St NW
Abingdon, VA 24210
Phone (276) 676-3111
228 Valley St NW
Abingdon, VA 24210
Phone (276) 628-8470
618 Campus Dr
Abingdon, VA 24210
Phone (276) 628-8470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765929600000",
"number": "1205819646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26165 LEE HWY",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117502",
"telephone_number": "276-623-8296",
"fax_number": "276-525-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 CAMPUS DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242109699",
"telephone_number": "276-628-8470",
"fax_number": "276-623-4293"
}
],
"practiceLocations": [
{
"address_1": "26165 Lee Hwy",
"address_purpose": "LOCATION",
"city": "Abingdon",
"state": "VA",
"postal_code": "242117502",
"country_code": "US",
"telephone_number": "276-623-8296",
"fax_number": "276-525-1654",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ABINGDON CONVALESCENT AMBULANCE SERVICE INCORPORATED",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-21",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A",
"authorized_official_last_name": "PARRIS",
"authorized_official_first_name": "ALLEN",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "276-628-8470"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "VA",
"license": "438",
"primary": true
},
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "VA",
"license": "17089",
"primary": false
},
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "VA",
"license": "17089",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009001590",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590936829",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "ABINGDON AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ABINGDON AMBULANCE SERVICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Abingdon, VA
- Abingdon Apothecary, Inc. (Northgate Pharmacy II)
- Abingdon Center Counseling Group, Inc.
- Abingdon Chiropractic Center PC
- Abingdon Christian Counseling (William B Haynes Jr M ED LPC)
- Abingdon Consultants, Inc
- Abingdon Covid Testig (Abingdon Covid Testing)
- Abingdon Covid Testing the Travel Shop (Abingdon Covid Testing)
- Abingdon Ear Nose & Throat Associates PC
- Abingdon Eye Associates, P.C.
- Abingdon Family Healthcare, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.