Charles City County Board of Supervisors

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

CHARLES CITY COUNTY BOARD OF SUPERVISORS

Doing business as

Charles City County

Practice address

10900 Courthouse Rd
Charles City, VA 23030-3426

Phone

(804) 652-4702

NPI assigned

Sep 11, 2007

Last updated

Apr 23, 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

Michelle Johnson

Title

Deputy County Administrator

Phone

(804) 652-4721

Specialties & licenses 2

Addresses

Other names 1

• Charles City County Doing business as

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619136000000",
    "number": "1306031596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "CHARLES CITY",
            "state": "VA",
            "postal_code": "230300128",
            "telephone_number": "804-652-4721",
            "fax_number": "804-829-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 COURTHOUSE RD",
            "city": "CHARLES CITY",
            "state": "VA",
            "postal_code": "230303426",
            "telephone_number": "804-652-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES CITY COUNTY BOARD OF SUPERVISORS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-11",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DEPUTY COUNTY ADMINISTRATOR",
        "authorized_official_telephone_number": "804-652-4721"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "827",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles City County",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Charles City County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vickie Charity Black, LPTA
• Laura Bounds, DNP
• Vanessa Bowen
• April Breen
• Central Virginia Health Services Inc (CVHS Charles City)
• Charles City County Public Schools
• Commonwealth of Virginia State Board of Health (Charles City County Health Department)
• Devil Dog Ranch
• Ellen T Fleenor, MD
• Karen E Fox, PSY.D

• Land Ambulance in Charles City, VA
• Providers in Charles City, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.