Active NPI
Director of Finance-County of Fairfax VA
- Ambulance
- Fairfax, VA
National Provider Identifier
1376575134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00224127 | Other | VA | RAILROAD MEDICARE |
| 178627 | Other | VA | ANTHEM |
| 010148839 | Medicaid | VA |
Other names 1
- Fairfax County Fire & Rescue Department
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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).
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Fairfax, VA
- NPI 1154356244
9739136847
National Provider Directory
National Provider Directory- Tax ID family
- Fairfax County Virginia
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Fairfax, VA
- NPI 1336868660
-
- Clinic Pharmacy
- Fairfax, VA
- NPI 1073548160
-
- Dental Clinic/Center
- Fairfax, VA
- NPI 1174558258
-
- Early Intervention Provider Agency
- Fairfax, VA
- NPI 1952334450
-
- Multi-Specialty Clinic/Center
- Fairfax, VA
- NPI 1174558266
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
- Sanda F Dipaolo, MD
- Director of Finance - County of Fairfax VA
- Director of Finance-County of Fairfax VA
- Director of Finance-County of Fairfax VA
- Director of Finance-County of Fairfax VA
- Director of Finance-County of Fairfax VA
- Discovery Practice Management, Inc
- Discovery Practice Management, Inc.
- District Dental Group of Fairfax
- District Eyecare Inc
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.