Organization Active NPI

Abingdon Convalescent Ambulance Service Incorporated

Doing business as Abingdon Ambulance Service

  • Ambulance
  • Abingdon, VA
National Provider Identifier
1205819646
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
438 Issued in VA
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
009001590MedicaidVA
590936829OtherVARAILROAD MEDICARE

Other names 1

  • ABINGDON AMBULANCE SERVICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050422001063 VA Part B Supplier - Ambulance Service Supplier 8820036486 Practice locations: Abingdon, VA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
49D2205179Abingdon Convalescent Ambulance Service Inc618 Campus Drive, Abingdon, VA 24210Certificate of waiverDec 13, 2026

National Provider Directory

National Provider Directory

Locations

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

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.

Verify at the official NPI Registry.