Active NPI
Town of Tazewell
- Land Ambulance
- Tazewell, VA
National Provider Identifier
1235510306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 1342
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150902001482 | VA | Part B Supplier - Ambulance Service Supplier | 6800102062 | Practice locations: Tazewell, VA |
National Provider Directory
National Provider DirectoryLocations
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.