Organization Active NPI

Dinwiddie County Board of Supervisors

  • Ambulance
  • Dinwiddie, VA
National Provider Identifier
1376597583
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
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 IDStateProvider typePAC IDDetails
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 Directory

Locations

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)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
62979OtherVAOPTIMA
100768OtherVAANTHEM
009012303MedicaidVA
=========OtherVATRICARE
080055800OtherVAFED BLACK LUNG
P00078588OtherVARR M/CARE

Other names 1

NPPES NPI Registry
  • Dinwiddie County Fire & EMS Doing business as

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.

Verify at the official NPI Registry.