City of Manassas

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1287 Issued in VA

Legal business name

CITY OF MANASSAS

Doing business as

City of Manassas Fire and Rescue

Practice address

9324 West St Ste 103
Manassas, VA 20110-5158

Phone

(703) 257-8246

Fax

(703) 257-2403

NPI assigned

Mar 17, 2009

Organization subpart

No

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

Authorized official

Name

Todd Edward Lupton

Title

Battalion Chief

Phone

(703) 257-8246

Specialties & licenses 1

Addresses

Other names 1

• City of Manassas Fire and Rescue Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Locations

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1386885655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 WEST ST",
            "address_2": "SUITE 204",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105138",
            "telephone_number": "703-257-8246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9324 WEST ST STE 103",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201105158",
            "telephone_number": "703-257-8246",
            "fax_number": "703-257-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF MANASSAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "LUPTON",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "BATTALION CHIEF",
        "authorized_official_telephone_number": "703-257-8246"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "1287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City of Manassas Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City of Manassas Fire and Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Keith H Chu, MD
• Andrew K Chung, M.D.
• Angela Chung, LCSW
• Melissa Mansfield Cimino-Hurt, LPC
• Kelly L Cipera, LCSW, LISW
• City of Manassas Public Schools
• Kathleen Clagett
• Sarah Jane Clarius, LPC
• Quiarra Clark-Shivers
• Alexandra Marie Clark, FNP

• Land Ambulance in Manassas, VA
• Providers in Manassas, VA by specialty
• Land Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.