Active NPI
Roanoke County Board of Supervisors
- Land Ambulance
- Roanoke, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 442
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009011404 | Medicaid | VA | |
| 590014822 | Other | RAILROAD MEDICARE |
Other names 1
- Roanoke County Fire & Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Squad
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Public Health or Welfare Agency
- Salem, VA
- NPI 1306991567
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.