Board of Supervisors of Amelia Co

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BOARD OF SUPERVISORS OF AMELIA CO

Practice address

8930 Otterburn Road
Amelia Court House, VA 23002

Phone

(804) 561-3336

Fax

(804) 561-5897

NPI assigned

May 17, 2023

Last updated

Jun 23, 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

Mrs. Kimberly Shaffer Smith

Title

Administrative Specialist

Phone

(804) 357-1736

Specialties & licenses 1

Addresses

Other names 1

• Amelia County Fire & EMS Other name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687478400000",
    "number": "1235820689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "230020066",
            "telephone_number": "804-561-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8930 OTTERBURN ROAD",
            "city": "AMELIA COURT HOUSE",
            "state": "VA",
            "postal_code": "23002",
            "telephone_number": "804-561-3336",
            "fax_number": "804-561-5897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF SUPERVISORS OF AMELIA CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SHAFFER",
        "authorized_official_title_or_position": "ADMINISTRATIVE SPECIALIST",
        "authorized_official_telephone_number": "804-357-1736",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amelia County Fire & EMS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Amelia County Fire & EMS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Land Ambulance in Amelia Court House, VA
• Providers in Amelia Court House, 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 23, 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.