City of Colonial Heights

Primary specialty

AmbulanceTaxonomy code 341600000X

License

476 Issued in VA

Legal business name

CITY OF COLONIAL HEIGHTS

Doing business as

Colonial Heights Fire & EMS

Practice address

100B Highland Ave
Colonial Heights, VA 23834-3140

Phone

(804) 520-9387

Fax

(804) 520-9302

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

David Kissner

Title

Deputy Fire Chief

Phone

(804) 520-9361

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Colonial Heights Fire & EMS 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": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1336184597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 791172",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212791172",
            "telephone_number": "804-520-9387",
            "fax_number": "804-520-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100B HIGHLAND AVE",
            "city": "COLONIAL HEIGHTS",
            "state": "VA",
            "postal_code": "238343140",
            "telephone_number": "804-520-9387",
            "fax_number": "804-520-9302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF COLONIAL HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "KISSNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "DEPUTY FIRE CHIEF",
        "authorized_official_telephone_number": "804-520-9361"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "246061",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009013032",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMA",
            "identifier": "56636",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCARE",
            "identifier": "590015440",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colonial Heights Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colonial Heights Fire & EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nijah M Chinn, PT, MHA
• Chiro One Wellness Center of Colonial Heights LLC
• Ming Sung Chiu, M.D.
• Lisa Yunjung Chung
• Kimberly Ann Church, FNP-BC
• Kris D Clark, PA
• John A Clay, M.D.
• Clear Ear Solutions, LLC
• Hugh Woodrow Cline Jr., D.C.
• Cloud Transportation LLC

• Ambulance in Colonial Heights, VA
• Providers in Colonial Heights, VA by specialty
• Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.