Active NPI
Dinwiddie County Board of Supervisors
- Ambulance
- Dinwiddie, VA
National Provider Identifier
1376597583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- DINWIDDIE COUNTY BOARD OF SUPERVISORS
- Practice address
- 13850 Courthouse Rd
Dinwiddie, VA 23841-0001 - Phone
- (804) 469-5388
- Fax
- (804) 469-4040
- NPI assigned
- May 20, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dawn M Titmus
- Title
- Interim Chief
- Phone
- (804) 469-5388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050414000486 | VA | Part B Supplier - Ambulance Service Supplier | 1658318274 | Practice locations: McKenney, VA; Stony Creek, VA; North Dinwiddie, VA; Dinwiddie, VA; Church Road, VA; Carson, VA |
National Provider Directory
National Provider DirectoryLocations
20015 Halifax Rd
Carson, VA 23830
Phone (434) 246-3400
13402 Cox Rd
Church Road, VA 23833
Phone (804) 265-5858
13516 Boydton Plank Rd
Dinwiddie, VA 23841
Phone (804) 469-3066
13910 Courthouse Rd
Dinwiddie, VA 23841
Phone (804) 469-5388
10507 Doyle Blvd
Mc Kenney, VA 23872
Phone (804) 478-4661
3913 Pelham St
North Dinwiddie, VA 23803
Phone (804) 861-5891
25813 Courthouse Rd
Stony Creek, VA 23882
Phone (804) 478-4949
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
13850 Courthouse Rd
Dinwiddie, VA 23841-0001
Mailing address
PO Box 637832
Cincinnati, OH 45263-7832
Phone (804) 469-5388
Other identifiers 6
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 62979 | Other | VA | OPTIMA |
| 100768 | Other | VA | ANTHEM |
| 009012303 | Medicaid | VA | |
| ========= | Other | VA | TRICARE |
| 080055800 | Other | VA | FED BLACK LUNG |
| P00078588 | Other | VA | RR M/CARE |
Other names 1
NPPES NPI Registry- Dinwiddie County Fire & EMS
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2024.
{
"created_epoch": "1148083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718928000000",
"number": "1376597583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 637832",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452637832",
"telephone_number": "804-469-5388",
"fax_number": "804-469-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13850 COURTHOUSE RD",
"city": "DINWIDDIE",
"state": "VA",
"postal_code": "238410001",
"telephone_number": "804-469-5388",
"fax_number": "804-469-4040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DINWIDDIE COUNTY BOARD OF SUPERVISORS",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-20",
"last_updated": "2024-06-21",
"status": "A",
"authorized_official_last_name": "TITMUS",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "INTERIM CHIEF",
"authorized_official_telephone_number": "804-469-5388"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "62979",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "100768",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009012303",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "=========",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FED BLACK LUNG",
"identifier": "080055800",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR M/CARE",
"identifier": "P00078588",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dinwiddie County Fire & EMS",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Dinwiddie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.