Organization Active NPI

Town of Tazewell

  • Land Ambulance
  • Tazewell, VA
National Provider Identifier
1235510306
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
1342 Issued in VA
Legal business name
TOWN OF TAZEWELL
Practice address
201 N Central Ave
Tazewell, VA 24651-1005
Phone
(276) 988-9062
Fax
(276) 988-9061
NPI assigned
Jun 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Authorized official

Name
Aaron D Buchanan Sr.
Title
Mayor
Phone
(276) 988-2501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 1342 VA Primary

Addresses

Primary practice location

201 N Central Ave
Tazewell, VA 24651-1005

Mailing address

PO Box 608
Tazewell, VA 24651-0608
Phone (276) 988-2501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150902001482 VA Part B Supplier - Ambulance Service Supplier 6800102062 Practice locations: Tazewell, VA

National Provider Directory

National Provider Directory

Locations

201 Central Ave
Tazewell, VA 24651
Phone (276) 988-9062

211 Central Ave
Tazewell, VA 24651

403 Steeles Ln
Tazewell, VA 24651
Phone (276) 988-0962

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1235510306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 608",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246510608",
            "telephone_number": "276-988-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N CENTRAL AVE",
            "city": "TAZEWELL",
            "state": "VA",
            "postal_code": "246511005",
            "telephone_number": "276-988-9062",
            "fax_number": "276-988-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF TAZEWELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "BUCHANAN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MAYOR",
        "authorized_official_telephone_number": "276-988-2501",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "1342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.