Organization Active NPI

Director of Finance-County of Fairfax VA

  • Ambulance
  • Fairfax, VA
National Provider Identifier
1376575134
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA
Practice address
12099 Government Center Pkwy
Fairfax, VA 22035-5501
Phone
(703) 246-2126
Fax
(703) 273-1049
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Authorized official

Name
John Butler
Title
Fire & Rescue Chief
Phone
(703) 246-2546

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 253 VA
Ambulance 341600000X Primary

Addresses

Primary practice location

12099 Government Center Pkwy
Fairfax, VA 22035-5501

Mailing address

PO Box 18008
Merrifield, VA 22118-0010
Phone (877) 874-4425

Other identifiers 3

IdentifierTypeStateIssuer
P00224127OtherVARAILROAD MEDICARE
178627OtherVAANTHEM
010148839MedicaidVA

Other names 1

  • Fairfax County Fire & Rescue Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050331001067 DC Part B Supplier - Ambulance Service Supplier 9739136847 Practice locations: Falls Church, VA; Great Falls, VA; Herndon, VA; Lorton, VA; MC Lean, VA; McLean, VA; Reston, VA; Burke, VA…

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Fairfax County Virginia6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

12099 Government Center Pkwy
Fl 4
Fairfax, VA 22035

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1376575134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18008",
            "city": "MERRIFIELD",
            "state": "VA",
            "postal_code": "221180010",
            "telephone_number": "877-874-4425",
            "fax_number": "937-291-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12099 GOVERNMENT CENTER PKWY",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220355501",
            "telephone_number": "703-246-2126",
            "fax_number": "703-273-1049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECTOR OF FINANCE-COUNTY OF FAIRFAX VA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FIRE & RESCUE CHIEF",
        "authorized_official_telephone_number": "703-246-2546"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "VA",
            "license": "253",
            "primary": false
        },
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00224127",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "178627",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010148839",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairfax County Fire & Rescue Department",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fairfax County Fire & Rescue Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.