NPIMap

Organization Active NPI

Medstar Ambulance Service, Inc.

  • Land Ambulance
  • Courtland, VA
National Provider Identifier
1366440638
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
792 Issued in VA
Legal business name
MEDSTAR AMBULANCE SERVICE, INC.
Practice address
23208 Main St
Courtland, VA 23837-1302
Phone
(757) 653-2873
Fax
(757) 653-2453
NPI assigned
Jul 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Pamela Phelps Moore
Title
President-Manager
Phone
(757) 653-2873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 792 VA Primary

Addresses

Primary practice location

23208 Main St
Courtland, VA 23837-1302

Mailing address

23208 Main St
Courtland, VA 23837-1302
Phone (757) 653-2873

National Provider Directory

National Provider Directory

Locations

23208 Main St
Courtland, VA 23837
Phone (757) 653-2873

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366440638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23208 MAIN ST",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238371302",
            "telephone_number": "757-653-2873",
            "fax_number": "757-653-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23208 MAIN ST",
            "city": "COURTLAND",
            "state": "VA",
            "postal_code": "238371302",
            "telephone_number": "757-653-2873",
            "fax_number": "757-653-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSTAR AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "PHELPS",
        "authorized_official_title_or_position": "PRESIDENT-MANAGER",
        "authorized_official_telephone_number": "757-653-2873"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Courtland, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.