Campbell County Board of Supervisors

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1136 Issued in VA

Legal business name

CAMPBELL COUNTY BOARD OF SUPERVISORS

Doing business as

Campbell County Public Safety

Practice address

34 Communications Lane
Rustburg, VA 24588

Phone

(434) 592-9539

Fax

(434) 332-9666

NPI assigned

Aug 17, 2006

Last updated

Jun 14, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tracy M Fairchild

Title

Director

Phone

(434) 332-9539

Specialties & licenses 1

Addresses

Other names 1

• Campbell County Public Safety Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Campbell County Department of Social Services2 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.

• Campbell County Department of Social Services

  • Public Health or Welfare Agency
  • Rustburg, VA
  • NPI 1023025335
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1205949773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661046",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752661046",
            "telephone_number": "434-332-9539",
            "fax_number": "434-332-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 COMMUNICATIONS LANE",
            "city": "RUSTBURG",
            "state": "VA",
            "postal_code": "24588",
            "telephone_number": "434-592-9539",
            "fax_number": "434-332-9666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "FAIRCHILD",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "434-332-9539"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Campbell County Public Safety",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Campbell County Public Safety",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Camika L. Bailey, LPC
• Emily Josephine Braunroth
• Bryanjprinzivalli (VIP Counseling Services)
• Vallerie Burnell, LPTA
• Joel M Burroughs, M.D.
• Campbell County Department of Social Services
• Campbell County Schools
• Central Virginia Family Physicians, Inc (Rustburg Family Practice)
• Nicole Stone Chalmers, LPC
• Deborah Cheek, ED.S.

• Land Ambulance in Rustburg, VA
• Providers in Rustburg, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.