Hanover County Board of Supervisors

Primary specialty

AmbulanceTaxonomy code 341600000X

License

779 Issued in VA

Legal business name

HANOVER COUNTY BOARD OF SUPERVISORS

Doing business as

Hanover Fire EMS

Practice address

13326 Hanover Courthouse Road
Hanover, VA 23069

Phone

(804) 365-6195

Fax

(804) 537-5458

NPI assigned

Jun 19, 2006

Last updated

Oct 13, 2021By 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

Jethro H Piland III

Title

Chief

Phone

(804) 365-6195

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Hanover Fire EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Hanover County Board of Supervisors

  • Mental Health Counselor
  • Ashland, VA
  • NPI 1104858653

  8527968742

  Same PAC ID

Tax ID family

Hanover Cty Board of SPVS2 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.

• Hanover County Board of Supervisors

  • Mental Health Counselor
  • Ashland, VA
  • NPI 1104858653
  NPD tax ID

Locations

Practitioners 98

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Elizabeth Reeder Alexander, LCSW

  • Clinical Social Worker
  • Ashland, VA
  • NPI 1699373936
  NPD
• Peter August Amann

  • Professional Counselor
  • Ashland, VA
  • NPI 1912530353
  NPD
• Alexandra Grace Arthur, LCSW

  • Clinical Social Worker
  • Ashland, VA
  • NPI 1306653662
  NPD
• Ry Willis Bergum, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashland, VA
  • NPI 1275103459
  NPD
• Carleigh Violet Bodin, LCSW

  • Clinical Social Worker
  • Ashland, VA
  • NPI 1073409470
  NPD
• Katharine Marie Calabro, LPC

  • Professional Counselor
  • Ashland, VA
  • NPI 1033734587
  NPD
• Deborah Crutchfield, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Allen, VA
  • NPI 1619360757
  NPD
• Kennedy Delesdernier, LPC

  • Professional Counselor
  • Ashland, VA
  • NPI 1326844820
  NPD
• Chrystal Hall Doyle, FNP-BC, PMHNP-BC

  • Family Nurse Practitioner
  • New Kent, VA
  • NPI 1669031191
  NPD
• Jessica R Geen, N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Ashland, VA
  • NPI 1295081917
  NPD
• Jacob Givler, LCSW

  • Clinical Social Worker
  • Ashland, VA
  • NPI 1689566135
  NPD
• Claire Dorianne Hafenstein Holmes, LPC

  • Professional Counselor
  • Ashland, VA
  • NPI 1114708195
  NPD

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1245275403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715445",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191715445",
            "telephone_number": "804-365-6195",
            "fax_number": "804-537-5458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13326 HANOVER COURTHOUSE ROAD",
            "city": "HANOVER",
            "state": "VA",
            "postal_code": "23069",
            "telephone_number": "804-365-6195",
            "fax_number": "804-537-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANOVER COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "PILAND",
        "authorized_official_first_name": "JETHRO",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "804-365-6195",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0000000178983",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010127530",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00203980",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hanover Fire EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hanover Fire EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen R Adams, PHD, LPC, CRC
• Lyndon J. Aguiar, PH.D.
• Noah Biggs
• Brilliant Futures LLC
• Neil Partridge, RPH
• Adara M Patterson, NP
• Todd Charles Stonnell, LPC, ATR-BC
• Nina Sullivan, NP
• Lindsey Swietnicki, LPC

• Ambulance in Hanover, VA
• Providers in Hanover, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.