Organization Active NPI

Roanoke County Board of Supervisors

  • Land Ambulance
  • Roanoke, VA
National Provider Identifier
1255337697
Registry record updated Apr 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
442 Issued in VA
Legal business name
ROANOKE COUNTY BOARD OF SUPERVISORS
Practice address
Roanoke County Public Safety Center
5925 Cove Road
Roanoke, VA 24019
Phone
(540) 777-8701
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2017

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

Authorized official

Name
Mr. Stephen George Simon
Title
Division Chief
Phone
(540) 777-8701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 442 VA Primary

Addresses

Primary practice location

Roanoke County Public Safety Center
5925 Cove Road
Roanoke, VA 24019

Mailing address

PO Box 20862
Roanoke, VA 24018-0087

Other identifiers 2

IdentifierTypeStateIssuer
009011404MedicaidVA
590014822OtherRAILROAD MEDICARE

Other names 1

  • Roanoke County Fire & Rescue Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050113000771 VA Part B Supplier - Ambulance Service Supplier 5799734034 Practice locations: Vinton, VA; Salem, VA; Roanoke, VA; Bent Mountain, VA

National Provider Directory

National Provider Directory
Tax ID family
Roanoke Co Rescue Squad2 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.

Locations

1465 Mexico Way NE
Roanoke, VA 24012
Phone (540) 777-3412

7401 Barrens Rd
Roanoke, VA 24019
Phone (540) 561-8026

5925 Cove Rd
Roanoke, VA 24019
Phone (540) 777-8701

150 Hershberger Rd
Roanoke, VA 24012
Phone (540) 561-8010

3206 Valley Forge Ave
Roanoke, VA 24018
Phone (540) 772-2053

5342 Indian Grave Rd
Roanoke, VA 24018
Phone (540) 772-2051

2909 Jae Valley Rd
Roanoke, VA 24014
Phone (540) 561-8023

3915 W Main St
Salem, VA 24153
Phone (540) 387-6166

3810 Bradshaw Rd
Salem, VA 24153
Phone (540) 387-6167

110 W Jackson Ave
Vinton, VA 24179
Phone (540) 981-0641

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491523200000",
    "number": "1255337697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20862",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240180087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ROANOKE COUNTY PUBLIC SAFETY CENTER",
            "address_2": "5925 COVE ROAD",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24019",
            "telephone_number": "540-777-8701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2017-04-07",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "DIVISION CHIEF",
        "authorized_official_telephone_number": "540-777-8701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009011404",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014822",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roanoke County Fire & Rescue",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2017; 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.