Organization Active NPI

Hopewell Emergency Crew

  • Land Ambulance
  • Hopewell, VA
National Provider Identifier
1235170523
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
HOPEWELL EMERGENCY CREW
Practice address
102 S 10TH Ave
Hopewell, VA 23860-3839
Phone
(804) 458-3866
Fax
(804) 541-3561
NPI assigned
Jun 9, 2006
Last updated
Nov 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Jerry A Williams
Title
Treasurer
Phone
(804) 458-3866

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

102 S 10TH Ave
Hopewell, VA 23860-3839

Mailing address

PO Box 659
Hopewell, VA 23860-0659
Phone (804) 458-3866

Other identifiers 5

IdentifierTypeStateIssuer
72505OtherVAOPTIMA HEALTH
080056400OtherVADEPT OF LABOR AND EMPLOYMENT
100565OtherVABC/BS OF VIRGINIA
80056400OtherVAFEDERAL BLACK LUNG PROGRAM
1235170523MedicaidVA

National Provider Directory

National Provider Directory

Locations

102 S 10th Ave
Hopewell, VA 23860
Phone (804) 458-3866

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1235170523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 659",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238600659",
            "telephone_number": "804-458-3866",
            "fax_number": "804-458-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 10TH AVE",
            "city": "HOPEWELL",
            "state": "VA",
            "postal_code": "238603839",
            "telephone_number": "804-458-3866",
            "fax_number": "804-541-3561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPEWELL EMERGENCY CREW",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "804-458-3866"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA HEALTH",
            "identifier": "72505",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR AND EMPLOYMENT",
            "identifier": "080056400",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF VIRGINIA",
            "identifier": "100565",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLACK LUNG PROGRAM",
            "identifier": "80056400",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1235170523",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.